Active NPI
Fred Klemmer, EAMP, LAC
- Acupuncturist
- Tumwater, WA
National Provider Identifier
1639299878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC2147
- Practice address
- 205 Clark PL SE
Tumwater, WA 98501-4062 - Phone
- (360) 570-0401
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- No
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 | AC2147 | WA | Primary |
Addresses
Primary practice location
205 Clark PL SE
Tumwater, WA 98501-4062
Mailing address
205 Clark PL SE
Tumwater, WA 98501-4062
Phone (360) 786-1120
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 |
|---|---|---|---|
| AC2147 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Wellness Inc | 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.
-
- Clinic/Center
- Tumwater, WA
- NPI 1154678670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1639299878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 CLARK PL SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985014062",
"telephone_number": "360-786-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 CLARK PL SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985014062",
"telephone_number": "360-570-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEMMER",
"first_name": "FRED",
"credential": "EAMP, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC2147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.