Organization Active NPI

Wild Sage Acupuncture, LLC

  • Acupuncturist
  • Woodinville, WA
National Provider Identifier
1851830905
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 60204424 Issued in WA
Legal business name
WILD SAGE ACUPUNCTURE, LLC
Practice address
16818 140TH Ave NE
Woodinville, WA 98072-9001
Phone
(425) 367-3220
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Megan Sewell
Title
Acupuncturist/Owner
Phone
(425) 367-4220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 60204424 WA Primary

Addresses

Primary practice location

16818 140TH Ave NE
Woodinville, WA 98072-9001

Mailing address

16818 140TH Ave NE
Woodinville, WA 98072-9001

National Provider Directory

National Provider Directory

Locations

16818 140th Ave NE
Woodinville, WA 98072
Phone (425) 486-2729

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1851830905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16818 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16818 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980729001",
            "telephone_number": "425-367-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD SAGE ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ACUPUNCTURIST/OWNER",
        "authorized_official_telephone_number": "425-367-4220"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60204424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.