Active NPI
Anna Recun, LAC
- Acupuncturist
- Redmond, WA
National Provider Identifier
1942770508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC60886575
- Practice address
- 22635 NE Marketplace Dr # 130
Redmond, WA 98053-5885 - Phone
- (425) 949-5961
- NPI assigned
- Nov 27, 2018
- 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 | AC60886575 | WA | Primary |
Addresses
Primary practice location
22635 NE Marketplace Dr # 130
Redmond, WA 98053-5885
Mailing address
5307 136TH PL SW
Edmonds, WA 98026-3437
Phone (206) 372-1915
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 |
|---|---|---|---|
| AC60886575 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Integrated Medicine LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1942770508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5307 136TH PL SW",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980263437",
"telephone_number": "206-372-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22635 NE MARKETPLACE DR # 130",
"city": "REDMOND",
"state": "WA",
"postal_code": "980535885",
"telephone_number": "425-949-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECUN",
"first_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60886575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.