Individual provider Active NPI

Katherine Nunnelee, EAMP

  • Acupuncturist
  • Spokane, WA
National Provider Identifier
1790493013
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC61365635 Issued in WA
Practice address
319 W Hastings Rd Ste A110
Spokane, WA 99218-5021
Phone
(098) 426-1725
NPI assigned
Nov 7, 2022
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC61365635 WA Primary

Addresses

Primary practice location

319 W Hastings Rd Ste A110
Spokane, WA 99218-5021

Mailing address

2017 E Dalke Ave
Spokane, WA 99208-2717
Phone (509) 842-6172

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
AC61365635WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Needle, LLC Acupuncturist CurrentSince Oct 27, 2024 Accepting new patients
Longevity Health Center Company Acupuncturist PastSince Nov 1, 2022 Accepting new patients

Locations

319 W Hastings Rd
Ste A110
Spokane, WA 99218
Phone (509) 326-8875

Organizations & group practices 2

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1790493013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 E DALKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992082717",
            "telephone_number": "509-842-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W HASTINGS RD STE A110",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992185021",
            "telephone_number": "098-426-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNELEE",
        "first_name": "KATHERINE",
        "credential": "EAMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC61365635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.