Active NPI
Geoffrey Steven Vanderhyde, LAC
- Acupuncturist
- Seattle, WA
National Provider Identifier
1871764852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2991
- Practice address
- 235 Westlake Ave. N
Seattle, WA 98109 - Phone
- (206) 749-5253
- NPI assigned
- Mar 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 2991 | WA | Primary |
Addresses
Primary practice location
235 Westlake Ave. N
Seattle, WA 98109
Mailing address
1738 NW 62ND St.
Seattle, WA 98107-2360
Phone (206) 422-5169
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2991 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1871764852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 NW 62ND ST.",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981072360",
"telephone_number": "206-422-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 WESTLAKE AVE. N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98109",
"telephone_number": "206-749-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERHYDE",
"first_name": "GEOFFREY",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "2991",
"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 Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.