Individual provider Active NPI

Yunfan Yang, ND, LAC, LMP

  • Naturopath
  • Bothell, WA
National Provider Identifier
1679766828
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT 60524196 Issued in WA
Practice address
727 228TH St SE
Bothell, WA 98021-9316
Phone
(425) 806-4861
Fax
(425) 806-4861
NPI assigned
Aug 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT 60524196 WA Primary
Massage Therapist 225700000X MA00023117 WA
Acupuncturist 171100000X AC 60740047 WA

Addresses

Primary practice location

727 228TH St SE
Bothell, WA 98021-9316

Mailing address

825 228TH St SE
Bothell, WA 98021-9317
Phone (425) 806-4861

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
AC 60740047WAMDAcupuncturist
NT 60524196WAMDNaturopath
MA00023117WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1679766828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 228TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219317",
            "telephone_number": "425-806-4861",
            "fax_number": "425-806-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 228TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219316",
            "telephone_number": "425-806-4861",
            "fax_number": "425-806-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "YUNFAN",
        "credential": "ND, LAC, LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 60524196",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023117",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60740047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.