NPIMap

Organization Active NPI

White Salmon Acupuncture LLP

  • Acupuncturist
  • White Salmon, WA
National Provider Identifier
1659017689
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WHITE SALMON ACUPUNCTURE LLP
Practice address
418 NE Tohomish St.
Suite 200
White Salmon, WA 98672
Phone
(203) 536-0535
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Serena Whitridge, LACNPI 1083215388
Title
Partner
Phone
(360) 524-2788

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: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

418 NE Tohomish St.
Suite 200
White Salmon, WA 98672

Mailing address

PO Box 179
Husum, WA 98623-0179

Other identifiers 5

IdentifierTypeStateIssuer
1114598141OtherNPI
1659017689OtherNPI TYPE 2
AC61132900OtherWAACUPUNCTURE STATE LICENSE
1083215388OtherNPI
AC61153026OtherWAACUPUNCTURE STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://whitesalmonacupuncture.janeapp.com/

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1659017689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "HUSUM",
            "state": "WA",
            "postal_code": "986230179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 NE TOHOMISH ST.",
            "address_2": "SUITE 200",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "98672",
            "telephone_number": "203-536-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SALMON ACUPUNCTURE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "WHITRIDGE",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "360-524-2788",
        "authorized_official_credential": "LAC"
    },
    "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": "NPI",
            "identifier": "1114598141",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1659017689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE STATE LICENSE",
            "identifier": "AC61132900",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083215388",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE STATE LICENSE",
            "identifier": "AC61153026",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://whitesalmonacupuncture.janeapp.com/",
            "affiliation": "N",
            "endpointDescription": "EHR system",
            "address_1": "418 NE Tohomish st.",
            "address_2": "Suite 200",
            "city": "white salmon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.