NPIMap

Organization Active NPI

Innerfire Medicine

  • Acupuncturist
  • Renton, WA
National Provider Identifier
1710523808
Registry record updated Nov 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
INNERFIRE MEDICINE
Practice address
451 SW 10TH St Ste 100
Renton, WA 98057-2981
Phone
(206) 612-2856
NPI assigned
Nov 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2019

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

Authorized official

Name
Donald Andre, EAMPNPI 1407356785
Title
Owner
Phone
(206) 612-2856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

451 SW 10TH St Ste 100
Renton, WA 98057-2981

Mailing address

10054 Waters Ave S
Seattle, WA 98178-2539
Phone (206) 612-2856

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574467200000",
    "number": "1710523808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10054 WATERS AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981782539",
            "telephone_number": "206-612-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW 10TH ST STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572981",
            "telephone_number": "206-612-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERFIRE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-23",
        "last_updated": "2019-11-23",
        "status": "A",
        "authorized_official_last_name": "ANDRE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-612-2856",
        "authorized_official_credential": "EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.