Active NPI
Kyung Sook Shin
- Acupuncturist
- Federal Way, WA
National Provider Identifier
1750941217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Practice address
- 32030 15TH PL SW
Federal Way, WA 98023-5426 - Phone
- (253) 709-0457
- NPI assigned
- Jun 17, 2019
- Last updated
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
32030 15TH PL SW
Federal Way, WA 98023-5426
Mailing address
32030 15TH PL SW
Federal Way, WA 98023-5426
Phone (253) 709-0457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1750941217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32030 15TH PL SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980235426",
"telephone_number": "253-709-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32030 15TH PL SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980235426",
"telephone_number": "253-709-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "KYUNG",
"middle_name": "SOOK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.