Active NPI
Johanna Hofmann, MBA, MAC., LAC.
- Acupuncturist
- Olympia, WA
National Provider Identifier
1699859736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00000304
- Practice address
- 1015 4TH Ave W
Ste. Ab
Olympia, WA 98502-5467 - Phone
- (360) 915-7794
- Fax
- (360) 915-7936
- NPI assigned
- Oct 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00000304 | WA | Primary |
Addresses
Primary practice location
1015 4TH Ave W
Ste. Ab
Olympia, WA 98502-5467
Mailing address
1015 4TH Ave W
Ste. Ab
Olympia, WA 98502-5467
Phone (360) 915-7794
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00000304 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara C. Phillips, Arnp, LLC | Past | Accepting new patients |
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.
-
- Family Nurse Practitioner
- Olympia, WA
- NPI 1134160583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1699859736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 4TH AVE W",
"address_2": "STE. AB",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025467",
"telephone_number": "360-915-7794",
"fax_number": "360-915-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 4TH AVE W",
"address_2": "STE. AB",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025467",
"telephone_number": "360-915-7794",
"fax_number": "360-915-7936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMANN",
"first_name": "JOHANNA",
"credential": "MBA, MAC., LAC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00000304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.