Skagit Valley Acupuncture & Herbs

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00888 Issued in WA

Legal business name

SKAGIT VALLEY ACUPUNCTURE & HERBS

Practice address

12 Bellwether Way
Suite 219
Bellingham, WA 98225-2959

Phone

(360) 466-1800

NPI assigned

Feb 4, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Matt Van Dyke, LAC

Title

Owner

Phone

(360) 466-1800

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1619391158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BELLWETHER WAY",
            "address_2": "SUITE 219",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252959",
            "telephone_number": "360-466-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BELLWETHER WAY",
            "address_2": "SUITE 219",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252959",
            "telephone_number": "360-466-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT VALLEY ACUPUNCTURE & HERBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "VAN DYKE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-466-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AC00002999",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fern Sisana
• Tabatha Mercedes Patrice Sisco
• Rachel Anne Sisley
• Donley Sissom, L.AC., DIP.AC.
• Deanna Christine Leonard Sivret, PT
• Michael Skare
• Jonathan G Skelton
• Denise Dawn Rachelle Skinner, RN, IBCLC
• Scott Michael Skjei, MD
• Rachel A Skolnick, LMT

• Acupuncturist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.