Individual provider Active NPI

Jonathan Clark Silliman, EAMP

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1831537471
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60367837 Issued in WA
Practice address
3511 NE 105TH St
Seattle, WA 98125-7909
Phone
(206) 326-8559
NPI assigned
Jun 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60367837 WA Primary

Addresses

Primary practice location

3511 NE 105TH St
Seattle, WA 98125-7909

Mailing address

2700 NE 125TH St
Apartment 204
Seattle, WA 98125-4351
Phone (206) 326-8559

Other identifiers 1

IdentifierTypeStateIssuer
AC60367837OtherWAEAMP LICENSE NUMBER

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

LicenseStateTypeSpecialty
AC60367837WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1831537471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NE 125TH ST",
            "address_2": "APARTMENT 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254351",
            "telephone_number": "206-326-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 NE 105TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257909",
            "telephone_number": "206-326-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLIMAN",
        "first_name": "JONATHAN",
        "middle_name": "CLARK",
        "name_prefix": "Mr.",
        "credential": "EAMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60367837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EAMP LICENSE NUMBER",
            "identifier": "AC60367837",
            "state": "WA"
        }
    ],
    "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 5, 2013; 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.