NPIMap

Organization Active NPI

White Willow Road Healing Center, LLC

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1831479724
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60182088 Issued in WA
Legal business name
WHITE WILLOW ROAD HEALING CENTER, LLC
Practice address
6715 Greenwood Ave N
Seattle, WA 98103-5225
Phone
(206) 251-7109
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Mykol Radziszewski, MS, EAMP, LACNPI 1134410483
Title
East Asian Medicine Practitioner
Phone
(206) 251-7109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60182088 WA Primary

Addresses

Primary practice location

6715 Greenwood Ave N
Seattle, WA 98103-5225

Mailing address

6715 Greenwood Ave N
Seattle, WA 98103-5225
Phone (206) 251-7109

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1831479724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 GREENWOOD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035225",
            "telephone_number": "206-251-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 GREENWOOD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035225",
            "telephone_number": "206-251-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE WILLOW ROAD HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "RADZISZEWSKI",
        "authorized_official_first_name": "MYKOL",
        "authorized_official_title_or_position": "EAST ASIAN MEDICINE PRACTITIONER",
        "authorized_official_telephone_number": "206-251-7109",
        "authorized_official_credential": "MS, EAMP, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60182088",
            "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 Sep 27, 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.