Gail Michelle Clevenger, L.AC., L.M.P.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00002247 Issued in WA

Practice address

22005 76TH Ave W
Edmonds, WA 98026-7905

Phone

(206) 595-4512

Fax

(425) 776-3844

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Maple Leaf Healing Arts Clinic

  • Acupuncturist
  • Seattle, WA
  • NPI 1699075606
  NPD (past) Authorized official
• Health and Wellness Clinic PLLC

  • Health Service Clinic/Center
  • Edmonds, WA
  • NPI 1033388772
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1710106471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22005 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267905",
            "telephone_number": "206-595-4512",
            "fax_number": "425-776-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22005 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267905",
            "telephone_number": "206-595-4512",
            "fax_number": "425-776-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "GAIL",
        "middle_name": "MICHELLE",
        "credential": "L.AC., L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00011147",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Edmonds
• Clarity Behavioral Health
• Lillian R Clark
• Wendy Lynn Clarke, LMFT
• Laura Flaherty Clemmons, D.P.T.
• Christine Margaret Clift
• Dezryelle Marie Clouse
• Kisha M Clune, MD
• Julie Cobb-Cooper
• Elizabeth Cole, PT

• Acupuncturist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.