Active NPI
Anna Marie Graklanoff, ND, LAC
- Naturopath
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60728390
- Practice address
- 104 23Rd Ave SE
Puyallup, WA 98372-4527 - Phone
- (253) 268-2170
- NPI assigned
- May 4, 2016
- Last updated
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 60650363 | WA | |
| Naturopath | 175F00000X | NT60728390 | WA | Primary |
Addresses
Primary practice location
104 23Rd Ave SE
Puyallup, WA 98372-4527
Mailing address
19032 68TH St E
Bonney Lake, WA 98391-8828
Phone (303) 519-4699
Other practice location 1
706 Market St
Tacoma, WA 98402-3712
Phone (253) 473-7830
Other practice location 2
102 23rd Ave SE Ste 104
Puyallup, WA 98372-4501
Phone (253) 268-2170
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 60650363 | WA | MD | Acupuncturist |
| NT60728390 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Life Medicine | Acupuncturist | Current | Accepting new patients |
| Serenity Spa, Inc. | Acupuncturist | Past | Accepting new patients |
Locations
104 23rd Ave SE
Puyallup, WA 98372
Phone (253) 200-0415
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Serenity Spa & Natural Health Clinic
- Multi-Specialty Clinic/Center
- Tacoma, WA
- NPI 1134384555
Acupuncturist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1679928006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19032 68TH ST E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983918828",
"telephone_number": "303-519-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 23RD AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983724527",
"telephone_number": "253-268-2170"
}
],
"practiceLocations": [
{
"address_1": "706 Market St",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984023712",
"country_code": "US",
"telephone_number": "253-473-7830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 23rd Ave SE Ste 104",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983724501",
"country_code": "US",
"telephone_number": "253-268-2170",
"fax_number": "253-268-0658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAKLANOFF",
"first_name": "ANNA",
"middle_name": "MARIE",
"credential": "ND, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC 60650363",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60728390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.