NPIMap

Organization Active NPI

Lily Acupuncture Healing Space

  • Acupuncturist
  • Vancouver, WA
National Provider Identifier
1861942914
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 60651194 Issued in WA
Legal business name
LILY ACUPUNCTURE HEALING SPACE
Practice address
1912 Grand Blvd
Vancouver, WA 98661-4603
Phone
(360) 718-7897
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Min-Hwa Lee, DAOMNPI 1134579592
Title
Doctore of Acupuncture and Om
Phone
(360) 718-7897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC 60651194 WA Primary

Addresses

Primary practice location

1912 Grand Blvd
Vancouver, WA 98661-4603

Mailing address

1912 Grand Blvd
Vancouver, WA 98661-4603
Phone (360) 718-7897

National Provider Directory

National Provider Directory

Locations

1912 Grand Blvd
Vancouver, WA 98661
Phone (360) 718-7897

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1861942914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 GRAND BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614603",
            "telephone_number": "360-718-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 GRAND BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614603",
            "telephone_number": "360-718-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY ACUPUNCTURE HEALING SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MIN-HWA",
        "authorized_official_title_or_position": "DOCTORE OF ACUPUNCTURE AND OM",
        "authorized_official_telephone_number": "360-718-7897",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60651194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.