Individual provider Active NPI

Lisa Marie Martin, LAC, EAMP, AC

  • Acupuncturist
  • Auburn, WA
National Provider Identifier
1730420134
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60316469 Issued in WA
Practice address
201 Auburn Way N Ste A1
Auburn, WA 98002-5062
Phone
(252) 394-1466
Fax
(253) 275-5047
NPI assigned
Mar 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60316469 WA Primary

Addresses

Primary practice location

201 Auburn Way N Ste A1
Auburn, WA 98002-5062

Mailing address

5407 21St Avenue CT NE
Tacoma, WA 98422-1959
Phone (206) 459-3704

Other practice location 1

916 E Miller St
Seattle, WA 98102-4043
Phone (206) 459-3704

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
AC60316469WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Needles Acupuncture, PLLC Acupuncturist 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.

NPI Registry JSON

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

{
    "created_epoch": "1362787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1730420134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 21ST AVENUE CT NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221959",
            "telephone_number": "206-459-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AUBURN WAY N STE A1",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025062",
            "telephone_number": "252-394-1466",
            "fax_number": "253-275-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 E Miller St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981024043",
            "country_code": "US",
            "telephone_number": "206-459-3704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LAC, EAMP, AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-09",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60316469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.