Organization Active NPI

An Shen Wellness Wellness

  • Acupuncturist
  • Vancouver, WA
National Provider Identifier
1902159247
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002081 Issued in WA
Legal business name
AN SHEN WELLNESS WELLNESS
Practice address
1906 Broadway St
Vancouver, WA 98663-3325
Phone
(360) 694-7668
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Michaele A Geoghegan, MSTOM, LAC
Title
Acupuncturist
Phone
(360) 694-5425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00002081 WA Primary

Addresses

Primary practice location

1906 Broadway St
Vancouver, WA 98663-3325

Mailing address

1906 Broadway St
Vancouver, WA 98663-3325
Phone (360) 694-7668

National Provider Directory

National Provider Directory

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": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1902159247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633325",
            "telephone_number": "360-694-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633325",
            "telephone_number": "360-694-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN SHEN WELLNESS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "GEOGHEGAN",
        "authorized_official_first_name": "MICHAELE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "360-694-5425",
        "authorized_official_credential": "MSTOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002081",
            "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 24, 2012; 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.