Individual provider Active NPI

Monica Lauderdale, L.AC.. EAMP, LMT

  • Acupuncturist
  • Olympia, WA
National Provider Identifier
1689245284
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
00000600 Issued in WA
Practice address
2825 Boundary St SE
Olympia, WA 98501-3617
Phone
(360) 870-9663
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 00000600 WA Primary

Addresses

Primary practice location

2825 Boundary St SE
Olympia, WA 98501-3617

Mailing address

2825 Boundary St SE
Olympia, WA 98501-3617

Other names 1

  • Monica Wittgow Former name

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
00000600WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
The Well Being, LLC Acupuncturist CurrentSince Mar 1, 2024 Accepting new patients

Locations

1820 Black Lake Blvd SW
Ste 101
Olympia, WA 98512
Phone (360) 545-3259

408 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 438-3029

Organizations & group practices 1

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1689245284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 BOUNDARY ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985013617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 BOUNDARY ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985013617",
            "telephone_number": "360-870-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDERDALE",
        "first_name": "MONICA",
        "credential": "L.AC.. EAMP, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "00000600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "WITTGOW",
            "credential": "L.AC., EAMP, LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.