Mariko Kimi Johnston, LAC, EAMP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC61086869 Issued in WA

Practice address

17311 135TH Ave NE Ste C800
Woodinville, WA 98072-4349

Phone

(425) 402-9999

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1962011692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7508 159TH PL NE APT 424",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17311 135TH AVE NE STE C800",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724349",
            "telephone_number": "425-402-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MARIKO",
        "middle_name": "KIMI",
        "credential": "LAC, EAMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC61086869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Paul Jewitt, M.D.
• Evghenii Valentin Jignea
• Christopher Lee Johnson, MD
• Paul Robert Johnson, LMHC
• Ingrid Johnston
• Kattie Jones
• Makayla Jones, LSWAIC
• Julie Voss MD PS
• Paul Jung, DDS MD
• Betsy Ann Kachmarik, P.T.

• Acupuncturist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.