Individual provider Active NPI

Heather Rain Delvin, LMP

  • Acupuncturist
  • Olympia, WA
National Provider Identifier
1720111495
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00003057 Issued in WA
Practice address
2020 1/2 Jackson Ave NW
Healing Roots, LLC
Olympia, WA 98502
Phone
(360) 754-1823
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00003057 WA Primary
Massage Therapist 225700000X MA-00014449 WA

Addresses

Primary practice location

2020 1/2 Jackson Ave NW
Healing Roots, LLC
Olympia, WA 98502

Mailing address

2020 1/2 Jackson Ave NW
Healing Roots, LLC
Olympia, WA 98502
Phone (360) 754-1823

Other names 1

  • Rain Delvin 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
AC00003057WAMDAcupuncturist
MA-00014449WAMDMassage Therapist

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": "1195516800000",
    "number": "1720111495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 1/2 JACKSON AVE NW",
            "address_2": "HEALING ROOTS, LLC",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 1/2 JACKSON AVE NW",
            "address_2": "HEALING ROOTS, LLC",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-754-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVIN",
        "first_name": "HEATHER",
        "middle_name": "RAIN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00003057",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA-00014449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAIN",
            "last_name": "DELVIN",
            "credential": "LAC, MAOM, LMP",
            "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 Nov 20, 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.

Verify at the official NPI Registry.