NPIMap

Organization Active NPI

Island Center for Complementary Medicine Inc PS

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1629353628
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000208 Issued in WA
Legal business name
ISLAND CENTER FOR COMPLEMENTARY MEDICINE INC PS
Practice address
2366 Eastlake Ave E
Suite 431
Seattle, WA 98102-3366
Phone
(206) 525-0750
Fax
(206) 524-6530
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Ms. Deborah Rose Houseworth, L.AC.
Title
President
Phone
(206) 525-0750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LH00003885 WA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00000208 WA Primary

Addresses

Primary practice location

2366 Eastlake Ave E
Suite 431
Seattle, WA 98102-3366

Mailing address

6826 28TH Ave NE
Seattle, WA 98115-7145
Phone (206) 525-0750

National Provider Directory

National Provider Directory
Tax ID family
Island Center for Complementary Medicine Inc P S5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2366 Eastlake Ave E
Ste 431
Seattle, WA 98102
Phone (206) 525-0750

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1629353628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6826 28TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157145",
            "telephone_number": "206-525-0750",
            "fax_number": "206-524-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E",
            "address_2": "SUITE 431",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023366",
            "telephone_number": "206-525-0750",
            "fax_number": "206-524-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CENTER FOR COMPLEMENTARY MEDICINE INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "HOUSEWORTH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-525-0750",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003885",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.