Active NPI
Phonexay Lala Simon, L.AC, EAMP
- Acupuncturist
- Seattle, WA
National Provider Identifier
1801209457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 60446929
- Practice address
- 2901 NE Blakeley St
Ste 3B
Seattle, WA 98105-3164 - Phone
- (509) 554-0516
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | AC 60446929 | WA | Primary |
Addresses
Primary practice location
2901 NE Blakeley St
Ste 3B
Seattle, WA 98105-3164
Mailing address
4038 Stone Way N Apt 301
Seattle, WA 98103-8026
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC 60446929 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1801209457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4038 STONE WAY N APT 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 NE BLAKELEY ST",
"address_2": "STE 3B",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053164",
"telephone_number": "509-554-0516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "PHONEXAY",
"middle_name": "LALA",
"credential": "L.AC, EAMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC 60446929",
"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 Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.