Active NPI
Wild Sage Acupuncture, LLC
- Acupuncturist
- Woodinville, WA
National Provider Identifier
1851830905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 60204424
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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 DirectoryLocations
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.