Active NPI
Alfred John Russo, D.A.O.M., L.AC.
- Acupuncturist
- Seattle, WA
National Provider Identifier
1922323773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 3036
- Practice address
- 3933 Stone Way N
Seattle, WA 98103-8017 - Phone
- (206) 861-5580
- Fax
- (844) 787-4718
- NPI assigned
- Apr 5, 2010
- 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 | 3036 | WA | Primary |
Addresses
Primary practice location
3933 Stone Way N
Seattle, WA 98103-8017
Mailing address
3933 Stone Way N
Seattle, WA 98103-8017
Phone (206) 861-5580
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 |
|---|---|---|---|
| 3036 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1922323773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 STONE WAY N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038017",
"telephone_number": "206-861-5580",
"fax_number": "844-787-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3933 STONE WAY N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038017",
"telephone_number": "206-861-5580",
"fax_number": "844-787-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "ALFRED",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.A.O.M., L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "3036",
"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 Feb 10, 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.