Individual provider Active NPI

Kristine Nakasato, LAC

  • Acupuncturist
  • Hillsboro, OR
National Provider Identifier
1750723607
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC211873 Issued in OR
Practice address
343 SE 3Rd Ave
Hillsboro, OR 97123-4001
Phone
(971) 232-0585
NPI assigned
Jul 20, 2013
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 15055 CA
Acupuncturist 171100000X AC211873 OR Primary

Addresses

Primary practice location

343 SE 3Rd Ave
Hillsboro, OR 97123-4001

Mailing address

PO Box 124
Kurtistown, HI 96760-0124
Phone (808) 989-9093

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
AC 15055CAMDAcupuncturist
AC211873ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Waves of Wellness Acupuncture LLC Acupuncturist CurrentSince Dec 5, 2021 Accepting new patients

Locations

192 Kapiolani St
Hilo, HI 96720
Phone (808) 300-2432

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1750723607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "KURTISTOWN",
            "state": "HI",
            "postal_code": "967600124",
            "telephone_number": "808-989-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 SE 3RD AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234001",
            "telephone_number": "971-232-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKASATO",
        "first_name": "KRISTINE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-20",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 15055",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC211873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.