Organization Active NPI

Starlight Acupuncture & Holistic Wellness PLLC

  • Acupuncturist
  • Port Orchard, WA
National Provider Identifier
1922660638
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
STARLIGHT ACUPUNCTURE & HOLISTIC WELLNESS PLLC
Practice address
11110 SE Tola Rd
Port Orchard, WA 98366-7900
Phone
(858) 229-6496
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Kimberly Chenoweth, EAMP, L.AC.NPI 1992363717
Title
Owner
Phone
(360) 209-4551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

11110 SE Tola Rd
Port Orchard, WA 98366-7900

Mailing address

11110 SE Tola Rd
Port Orchard, WA 98366-7900
Phone (858) 229-6496

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1922660638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 SE TOLA RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983667900",
            "telephone_number": "858-229-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 SE TOLA RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983667900",
            "telephone_number": "858-229-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLIGHT ACUPUNCTURE & HOLISTIC WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "CHENOWETH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-209-4551",
        "authorized_official_credential": "EAMP, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.