Active NPI
Yuliani Chandranata, LAC, MSAOM, EAMP, ND
- Acupuncturist
- Seattle, WA
National Provider Identifier
1871953547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC60623797
- Practice address
- 4301 Stone Way N, Suite 211
Seattle, WA 98103 - Phone
- (909) 859-9952
- NPI assigned
- Feb 24, 2016
- 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 | AC60623797 | WA | Primary |
Addresses
Primary practice location
4301 Stone Way N, Suite 211
Seattle, WA 98103
Mailing address
D' Natural Surabaya
JL. Dr. Soetomo No. 75
Surabaya, JAWA TIMUR (EAST JAVA) 60264
ID
Phone (909) 859-9952
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 |
|---|---|---|---|
| AC60623797 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1871953547",
"addresses": [
{
"country_code": "ID",
"country_name": "Indonesia",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "D' NATURAL SURABAYA",
"address_2": "JL. DR. SOETOMO NO. 75",
"city": "SURABAYA",
"state": "JAWA TIMUR (EAST JAVA)",
"postal_code": "60264",
"telephone_number": "19098599952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 STONE WAY N, SUITE 211",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "909-859-9952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRANATA",
"first_name": "YULIANI",
"credential": "LAC, MSAOM, EAMP, ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60623797",
"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 Sep 22, 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.