Active NPI
Cris Angel, MS, DA, AEMP, HDD
- Acupuncturist
- Mukilteo, WA
National Provider Identifier
1619971991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00000511
- Practice address
- 8229 44TH Ave W
Suite F
Mukilteo, WA 98275 - Phone
- (206) 454-8224
- Fax
- (401) 429-6150
- NPI assigned
- Jun 2, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | LAC0000511 | WA | |
| Acupuncturist | 171100000X | AC00000511 | WA | Primary |
Addresses
Primary practice location
8229 44TH Ave W
Suite F
Mukilteo, WA 98275
Mailing address
914 164TH St SE
Suite B12 - 202
Mill Creek, WA 98012
Phone (206) 454-8224
Other names 1
- Kris Harlyn Stockwell
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00000511 | WA | MD | Acupuncturist |
| LAC0000511 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1619971991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 164TH ST SE",
"address_2": "SUITE B12 - 202",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "98012",
"telephone_number": "206-454-8224",
"fax_number": "401-429-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8229 44TH AVE W",
"address_2": "SUITE F",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "98275",
"telephone_number": "206-454-8224",
"fax_number": "401-429-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGEL",
"first_name": "CRIS",
"credential": "MS, DA, AEMP, HDD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "LAC0000511",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00000511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRIS",
"last_name": "STOCKWELL",
"middle_name": "HARLYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.