Theresa Jane Valenzuela, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00002476 Issued in WA

Practice address

445 W Bell St
Sequim, WA 98382-3758

Phone

(360) 477-4781

Fax

(360) 582-0999

NPI assigned

Sep 7, 2007

Last updated

Sep 7, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Theresa Jane Grybosky Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1649465105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W BELL ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823758",
            "telephone_number": "360-477-4781",
            "fax_number": "360-582-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W BELL ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823758",
            "telephone_number": "360-477-4781",
            "fax_number": "360-582-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "THERESA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "GRYBOSKY",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Acupuncturist in Sequim, WA
• Providers in Sequim, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.