Individual provider Active NPI

Courtney Michelle Zeller, AEMP

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1780937391
Registry record updated Jan 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 60263139 Issued in WA
Practice address
509 Olive Way Ste 1401
Seattle, WA 98101-1746
Phone
(206) 402-3813
Fax
(206) 629-2267
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 60263139 WA Primary

Addresses

Primary practice location

509 Olive Way Ste 1401
Seattle, WA 98101-1746

Mailing address

2851 SW Adams St
Seattle, WA 98126-2517
Phone (425) 466-7379

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 60263139WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodmedizen PS Inc Acupuncturist PastSince Jan 15, 2023 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": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1780937391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 SW ADAMS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262517",
            "telephone_number": "425-466-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011746",
            "telephone_number": "206-402-3813",
            "fax_number": "206-629-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "AEMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60263139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.