Active NPI
Mary Muth, PA-C, L.AC
- Acupuncturist
- University Place, WA
National Provider Identifier
1801807128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00002753
- Practice address
- 7210 40TH St W
Ste 100
University Place, WA 98466-4318 - Phone
- (253) 564-0170
- Fax
- (253) 207-4240
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00002753 | WA | Primary |
| Physician Assistant | 363A00000X | PA10002261 | WA |
Addresses
Primary practice location
7210 40TH St W
Ste 100
University Place, WA 98466-4318
Mailing address
7210 40TH St W
Ste 100
University Place, WA 98466-4318
Phone (253) 564-0170
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00002753 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanya Wilke Family Medicine | Past | Accepting new patients | |
| White River Family Care LLC | Past | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| Fox Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/10664/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Family Medicine Physician
- University Place, WA
- NPI 1639748882
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Primary Care Clinic/Center
- Enumclaw, WA
- NPI 1598155129
-
- Family Medicine Physician
- Buckley, WA
- NPI 1649394800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1801807128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210 40TH ST W",
"address_2": "STE 100",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664318",
"telephone_number": "253-564-0170",
"fax_number": "253-207-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7210 40TH ST W",
"address_2": "STE 100",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984664318",
"telephone_number": "253-564-0170",
"fax_number": "253-207-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTH",
"first_name": "MARY",
"credential": "PA-C, L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00002753",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10002261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.