Courtney Edgerton, EAMP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC61430447 Issued in WA

Practice address

104 23Rd Ave SE
Puyallup, WA 98372-4527

Phone

(253) 268-2170

NPI assigned

May 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Natural Life Medicine

  • Naturopath
  • Puyallup, WA
  • NPI 1801431945

  Acupuncturist

  NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1821780263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 23RD AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 23RD AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724527",
            "telephone_number": "253-268-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERTON",
        "first_name": "COURTNEY",
        "credential": "EAMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC61430447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Aldor Eastman, RPH
• Blair A Eather
• Dayl Eccles, PHARMD
• Michelle Christine Echer, DPT
• Alexi Ecklund
• Carolyn A Edgeworth, R.PH.
• Maryan Edin, LMHC
• Charles V. Edmond Jr., MD
• Melissa Dawn Edmundson, LMP
• Kenneth Murray Edstrom, MD

• Acupuncturist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.