NPIMap

Organization Active NPI

Kirkland Acupuncture Clinic PLLC

  • Acupuncturist
  • Kirkland, WA
National Provider Identifier
1649838301
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
KIRKLAND ACUPUNCTURE CLINIC PLLC
Practice address
13128 Totem Lake Blvd NE Ste 206
Kirkland, WA 98034-2953
Phone
(425) 229-4920
NPI assigned
May 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Heather KettnerNPI 1285974295
Title
Owner/Acupuncturist
Phone
(978) 037-9660

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
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

13128 Totem Lake Blvd NE Ste 206
Kirkland, WA 98034-2953

Mailing address

13128 Totem Lake Blvd NE Ste 206
Kirkland, WA 98034-2953

Other identifiers 1

IdentifierTypeStateIssuer
60332586OtherWA171100000X

Other names 1

  • Kirkland Acupuncture & Integrative Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

13128 Totem Lake Blvd NE
Ste 206
Kirkland, WA 98034
Phone (425) 229-4920

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1649838301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE STE 206",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE STE 206",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-229-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKLAND ACUPUNCTURE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KETTNER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "978-037-9660"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "171100000X",
            "identifier": "60332586",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirkland Acupuncture & Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.