Individual provider Active NPI

Gregory T Lewerenz, EAMP, LMP

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1801124474
Registry record updated Nov 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60114046 Issued in WA
Practice address
4300 36TH Ave W
Suite 130
Seattle, WA 98199-1675
Phone
(206) 856-4096
NPI assigned
Nov 19, 2009
Last updated
Nov 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60114046 WA Primary
Massage Therapist 225700000X MA00023193 WA

Addresses

Primary practice location

4300 36TH Ave W
Suite 130
Seattle, WA 98199-1675

Mailing address

4300 36TH Ave W
Suite 130
Seattle, WA 98199-1675
Phone (206) 856-4096

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
AC60114046WAMDAcupuncturist
MA00023193WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foster Wellness Acupuncturist Past 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, 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": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351987200000",
    "number": "1801124474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 36TH AVE W",
            "address_2": "SUITE 130",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991675",
            "telephone_number": "206-856-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 36TH AVE W",
            "address_2": "SUITE 130",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991675",
            "telephone_number": "206-856-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWERENZ",
        "first_name": "GREGORY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "EAMP, LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-19",
        "last_updated": "2012-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60114046",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023193",
            "primary": false
        }
    ],
    "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 Nov 4, 2012; 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.