Active NPI
Yi Su
- Acupuncturist
- Bellevue, WA
National Provider Identifier
1821443508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 60551591
- Practice address
- 14850 Lake Hills Blvd Ste B4
Bellevue, WA 98007-5800 - Phone
- (425) 286-7136
- NPI assigned
- Apr 29, 2016
- 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 60551591 | WA | Primary |
Addresses
Primary practice location
14850 Lake Hills Blvd Ste B4
Bellevue, WA 98007-5800
Mailing address
14850 Lake Hills Blvd Ste B4
Bellevue, WA 98007-5800
Phone (425) 286-7136
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 60551591 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Su'S Holistic Healing PLLC | 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 and National Provider Directory roles.
-
- Acupuncturist
- Bellevue, WA
- NPI 1740792324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1821443508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14850 LAKE HILLS BLVD STE B4",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075800",
"telephone_number": "425-286-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14850 LAKE HILLS BLVD STE B4",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075800",
"telephone_number": "425-286-7136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "YI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-29",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC 60551591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.