Individual provider Active NPI

Lisa H Vanhaagen, MS, LAC, LMT

  • Acupuncturist
  • Sedro Woolley, WA
National Provider Identifier
1801006770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC2095 Issued in WA
Practice address
700 Murdock St
Sedro Woolley, WA 98284-1426
Phone
(360) 708-6808
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC2095 WA Primary

Addresses

Primary practice location

700 Murdock St
Sedro Woolley, WA 98284-1426

Mailing address

PO Box 1321
Anacortes, WA 98221-6321
Phone (360) 708-6808

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AC2095WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801006770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1321",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982216321",
            "telephone_number": "360-708-6808",
            "fax_number": "360-588-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MURDOCK ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841426",
            "telephone_number": "360-708-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHAAGEN",
        "first_name": "LISA",
        "middle_name": "H",
        "credential": "MS, LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC2095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.