Active NPI
Patricia Ann Douthwaite, L. AC.
- Acupuncturist
- Ukiah, CA
National Provider Identifier
1700919214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC2868
- Practice address
- 564 S Dora St
Suite a
Ukiah, CA 95482-5486 - Phone
- (707) 467-0335
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | AC2868 | CA | Primary |
Addresses
Primary practice location
564 S Dora St
Suite a
Ukiah, CA 95482-5486
Mailing address
PO Box 1386
Ukiah, CA 95482-1386
Phone (707) 467-0335
Other names 1
- Ms. Tisha Douthwaite
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 |
|---|---|---|---|
| AC2868 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700919214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1386",
"city": "UKIAH",
"state": "CA",
"postal_code": "954821386",
"telephone_number": "707-467-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 S DORA ST",
"address_2": "SUITE A",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825486",
"telephone_number": "707-467-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUTHWAITE",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC2868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TISHA",
"last_name": "DOUTHWAITE",
"prefix": "MS.",
"credential": "L. AC.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.