Individual provider Active NPI

Rebekah W Ingalls, EAMP, LMP

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1649669854
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002027 Issued in WA
Practice address
3417 Evanston Ave N Ste 408
Seattle, WA 98103-8969
Phone
(206) 789-0456
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00002027 WA Primary
Massage Therapist 225700000X MA00011627 WA

Addresses

Primary practice location

3417 Evanston Ave N Ste 408
Seattle, WA 98103-8969

Mailing address

9100 30TH Ave NW
Seattle, WA 98117-2959
Phone (206) 789-0456

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

LicenseStateTypeSpecialty
AC00002027WAMDAcupuncturist
MA00011627WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Earth and Sky Healing Arts 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.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1649669854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 30TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981172959",
            "telephone_number": "206-789-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N STE 408",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038969",
            "telephone_number": "206-789-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGALLS",
        "first_name": "REBEKAH",
        "middle_name": "W",
        "credential": "EAMP, LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002027",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00011627",
            "primary": false
        }
    ],
    "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 Jan 12, 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.