Individual provider Active NPI

Jennifer Gray Martin, N.D., LAC

  • Acupuncturist
  • Olympia, WA
National Provider Identifier
1841417482
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002102 Issued in WA
Practice address
1324 Harrison Ave NW
Olympia, WA 98502-5349
Phone
(360) 754-7775
Fax
(360) 754-7255
NPI assigned
Apr 18, 2007
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 AC00002102 WA Primary
Naturopath 175F00000X NT00001146 WA

Addresses

Primary practice location

1324 Harrison Ave NW
Olympia, WA 98502-5349

Mailing address

2104 Myrtle PL SE
Olympia, WA 98501-3143
Phone (360) 789-2977

Other identifiers 2

IdentifierTypeStateIssuer
AC00002102OtherWAACUPUNCTURIST
NT00001146OtherWANATUROPATHIC PHYSICIAN

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
AC00002102WAMDAcupuncturist
NT00001146WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Center for Natural Medicine Naturopath 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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841417482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 MYRTLE PL SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985013143",
            "telephone_number": "360-789-2977",
            "fax_number": "360-754-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 HARRISON AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025349",
            "telephone_number": "360-754-7775",
            "fax_number": "360-754-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "GRAY",
        "name_prefix": "Ms.",
        "credential": "N.D., LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002102",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "AC00002102",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATHIC PHYSICIAN",
            "identifier": "NT00001146",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, 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.