Active NPI
Anna Marie Graklanoff, ND, LAC
- Naturopath
- Puyallup, WA
National Provider Identifier
1679928006
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
- 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 and National Provider Directory roles.
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.