Organization Active NPI

Sun & Moon Acupuncture Clinic Inc

  • Acupuncturist
  • Longview, WA
National Provider Identifier
1649446618
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SUN & MOON ACUPUNCTURE CLINIC INC
Practice address
1717 Olympia Way
Suite 104
Longview, WA 98632
Phone
(360) 577-8989
Fax
(360) 577-8985
NPI assigned
Apr 30, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Mrs. Nancy E Goodwin, LACNPI 1891744371
Title
President
Phone
(360) 577-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X WA Primary

Addresses

Primary practice location

1717 Olympia Way
Suite 104
Longview, WA 98632

Mailing address

1717 Olympia Way
Suite 104
Longview, WA 98632
Phone (360) 577-8989

National Provider Directory

National Provider Directory

Locations

1717 Olympia Way
Ste 104
Longview, WA 98632
Phone (360) 577-8989

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1649446618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OLYMPIA WAY",
            "address_2": "SUITE 104",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-577-8989",
            "fax_number": "360-577-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OLYMPIA WAY",
            "address_2": "SUITE 104",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-577-8989",
            "fax_number": "360-577-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN & MOON ACUPUNCTURE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-577-8989",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.