Active NPI
Jody Ellis, E.A.M.P, LAC., MSA
- Acupuncturist
- Belfair, WA
National Provider Identifier
1902044902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC60028600
- Practice address
- 23552 NE State Route 3 Ste 2
Belfair, WA 98528-8335 - Phone
- (360) 265-4141
- NPI assigned
- Jan 29, 2009
- 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 | AC60028600 | WA | Primary |
Addresses
Primary practice location
23552 NE State Route 3 Ste 2
Belfair, WA 98528-8335
Mailing address
PO Box 3321
Belfair, WA 98528-3321
Phone (360) 265-4141
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 |
|---|---|---|---|
| AC60028600 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506729600000",
"number": "1902044902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3321",
"city": "BELFAIR",
"state": "WA",
"postal_code": "985283321",
"telephone_number": "360-265-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23552 NE STATE ROUTE 3 STE 2",
"city": "BELFAIR",
"state": "WA",
"postal_code": "985288335",
"telephone_number": "360-265-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "JODY",
"name_prefix": "Mrs.",
"credential": "E.A.M.P, LAC., MSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2017-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60028600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belfair, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.