NPIMap

Organization Active NPI

Innate Health Awareness LLC

  • Acupuncturist
  • Edmonds, WA
National Provider Identifier
1962770396
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60175366 Issued in WA
Legal business name
INNATE HEALTH AWARENESS LLC
Practice address
420 5TH Ave S
Suite 103
Edmonds, WA 98020-3464
Phone
(206) 618-6099
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Natalie-Pascale A Boisseau, LAC EAMP, LMPNPI 1699082156
Title
Owner
Phone
(206) 618-6099

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60175366 WA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA00022731 WA

Addresses

Primary practice location

420 5TH Ave S
Suite 103
Edmonds, WA 98020-3464

Mailing address

420 5TH Ave S
Suite 103
Edmonds, WA 98020-3464
Phone (206) 618-6099

Other names 1

  • Innate Radiance Doing business as

National Provider Directory

National Provider Directory

Locations

420 5th Ave S
Ste 103
Edmonds, WA 98020
Phone (206) 618-6099

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1962770396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 5TH AVE S",
            "address_2": "SUITE 103",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203464",
            "telephone_number": "206-618-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 5TH AVE S",
            "address_2": "SUITE 103",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203464",
            "telephone_number": "206-618-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE HEALTH AWARENESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "BOISSEAU",
        "authorized_official_first_name": "NATALIE-PASCALE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-618-6099",
        "authorized_official_credential": "LAC EAMP, LMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60175366",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00022731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innate Radiance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.