Individual provider Active NPI

Holly Louise Daniel, PT, LAC

  • Acupuncturist
  • Sequim, WA
National Provider Identifier
1841308780
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000404 Issued in WA
Practice address
127 W Bell St
Sequim, WA 98382-3752
Phone
(360) 461-4102
Fax
(360) 683-5974
NPI assigned
Aug 29, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00000404 WA Primary
Physical Therapist 225100000X PT00006149 WA

Addresses

Primary practice location

127 W Bell St
Sequim, WA 98382-3752

Mailing address

803 7TH Ave S
Edmonds, WA 98020-4079
Phone (360) 461-4102

Other identifiers 5

IdentifierTypeStateIssuer
REGENCE BLUE SHIELDOtherWA8111DA
7613420OtherWAAETNA
REGENCE BLUE SHIELDOtherWA9116DA
7000014OtherWAAETNA
168776OtherWASTATE LABOR AND INDUSTIES

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

State licenses

LicenseStateTypeSpecialty
AC00000404WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Lake Physical Therapy Inc Physical Therapist Past Accepting new patients
Axis Physical Therapy Inc Physical Therapist PastSince Aug 13, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841308780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 7TH AVE S",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204079",
            "telephone_number": "360-461-4102",
            "fax_number": "360-683-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W BELL ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823752",
            "telephone_number": "360-461-4102",
            "fax_number": "360-683-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "HOLLY",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "PT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000404",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8111DA",
            "identifier": "REGENCE BLUE SHIELD",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7613420",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "9116DA",
            "identifier": "REGENCE BLUE SHIELD",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7000014",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LABOR AND INDUSTIES",
            "identifier": "168776",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, 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.

Verify at the official NPI Registry.