Active NPI
Andrea J Booth, MA AC LIC AC
- Acupuncturist
- Seattle, WA
National Provider Identifier
1851451165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00000453
- Practice address
- 4500 8TH Ave
Suite 300
Seattle, WA 98105 - Phone
- (206) 829-2408
- Fax
- (206) 829-2409
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00000453 | WA | Primary |
Addresses
Primary practice location
4500 8TH Ave
Suite 300
Seattle, WA 98105
Mailing address
2401 8TH Ave N #101
4500 9TH Ave NE Suite 300
Seattle, WA 98109
Phone (206) 369-2156
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00000453 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851451165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 8TH AVE N #101",
"address_2": "4500 9TH AVE NE SUITE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98109",
"telephone_number": "206-369-2156",
"fax_number": "206-829-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 8TH AVE",
"address_2": "SUITE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-829-2408",
"fax_number": "206-829-2409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "ANDREA",
"middle_name": "J",
"credential": "MA AC LIC AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00000453",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.