Active NPI
Jyun Shimizu, LAC
- Acupuncturist
- Bellevue, WA
National Provider Identifier
1609955335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC370
- Practice address
- 15100 SE 38TH St Ste 400
Bellevue, WA 98006-1763 - Phone
- (425) 289-0188
- Fax
- (425) 671-0963
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC370 | WA | Primary |
Addresses
Primary practice location
15100 SE 38TH St Ste 400
Bellevue, WA 98006-1763
Mailing address
PO Box 11009
Olympia, WA 98508-1009
Phone (360) 352-2037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC370 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture Associates, PS | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Bellevue, WA
- NPI 1871672865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609955335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11009",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985081009",
"telephone_number": "360-352-2037",
"fax_number": "360-352-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15100 SE 38TH ST STE 400",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061763",
"telephone_number": "425-289-0188",
"fax_number": "425-671-0963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMIZU",
"first_name": "JYUN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.