Individual provider Active NPI

Wendy L. Mintiero, EAMP, LMT

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1659423614
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000498 Issued in WA
Practice address
4444 Woodland Park Ave N
Suite 211
Seattle, WA 98103-7499
Phone
(206) 504-9547
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00003246 WA
Acupuncturist 171100000X AC00000498 WA Primary

Addresses

Primary practice location

4444 Woodland Park Ave N
Suite 211
Seattle, WA 98103-7499

Mailing address

4444 Woodland Park Ave N
Suite 211
Seattle, WA 98103-7499
Phone (206) 504-9547

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
AC00000498WAMDAcupuncturist
MA00003246WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659423614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 WOODLAND PARK AVE N",
            "address_2": "SUITE 211",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037499",
            "telephone_number": "206-504-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 WOODLAND PARK AVE N",
            "address_2": "SUITE 211",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037499",
            "telephone_number": "206-504-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTIERO",
        "first_name": "WENDY",
        "middle_name": "L.",
        "credential": "EAMP, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00003246",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000498",
            "primary": true
        }
    ],
    "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 Jul 21, 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.