Elevated Acupuncture LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ELEVATED ACUPUNCTURE LLC

Practice address

1500 Fairview Ave E Ste 205
Seattle, WA 98102-3727

Phone

(253) 987-6049

Fax

(206) 325-9292

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Bethany C Demarco, LAC, MSAOM, RNNPI 1588202782

Title

Ceo

Phone

(303) 378-0557

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethany Demarco

  • Acupuncturist
  • Cortez, CO
  • NPI 1588202782
  NPD Authorized official

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1639813330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 42ND AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981362819",
            "telephone_number": "303-378-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FAIRVIEW AVE E STE 205",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023727",
            "telephone_number": "253-987-6049",
            "fax_number": "206-325-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-378-0557",
        "authorized_official_credential": "LAC, MSAOM, RN"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO STATE ACUPUNCTURE LICENSE",
            "identifier": "0002552",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE ACUPUNCTURE LICENSE",
            "identifier": "AC61079087",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM BOARD CERTIFICATION",
            "identifier": "NCC84637",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588202782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elevate Integrative Wellness PLLC
• Elevated Acupuncture, LLC
• Nicholas Ian Eley, PA-C, MSPA
• Mirette Elgawly
• Mark Elgee, L.AC
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• Acupuncturist in Seattle, WA
• Providers in Seattle, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.