Active NPI
Kathleen E Nordgren, LAC
- Acupuncturist
- Seattle, WA
National Provider Identifier
1942362843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00001854
- Practice address
- 5437 California Ave SW
White Crane Spa
Seattle, WA 98136 - Phone
- (206) 930-3401
- Fax
- (206) 935-3101
- NPI assigned
- Dec 15, 2006
- Last updated
- Jul 8, 2007
- 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 | AC00001854 | WA | Primary |
Addresses
Primary practice location
5437 California Ave SW
White Crane Spa
Seattle, WA 98136
Mailing address
7723 45TH Ave SW
Seattle, WA 98136
Phone (206) 930-3401
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 |
|---|---|---|---|
| AC00001854 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942362843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7723 45TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98136",
"telephone_number": "206-930-3401",
"fax_number": "206-935-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5437 CALIFORNIA AVE SW",
"address_2": "WHITE CRANE SPA",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98136",
"telephone_number": "206-930-3401",
"fax_number": "206-935-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDGREN",
"first_name": "KATHLEEN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00001854",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.