My Nhung Pham Kolb, MS, EAMP, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 60739081 Issued in WA

Practice address

5130 15TH Ave S
Seattle, WA 98108-2316

Phone

(360) 286-4407

NPI assigned

Mar 15, 2017

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Jet City Acupuncture & Wellness, PLLC

  • Acupuncturist
  • Seattle, WA
  • NPI 1255994935
  NPD Authorized official

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1972044535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 15TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082316",
            "telephone_number": "360-286-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 15TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082316",
            "telephone_number": "360-286-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "MY NHUNG",
        "middle_name": "PHAM",
        "name_prefix": "Mrs.",
        "credential": "MS, EAMP, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60739081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Anthony Kokorowski, MSW
• M. Kay Kolahi, RD
• Susanne Maria Elisabeth Kolare Jeffrey, DDS, PHD
• Teodora Kolarova, MD
• Heidi Kolb, RN
• Leana Jean Kolbeck, OTR/L
• Briton Leland Kolber, LMFTA
• Laura Kolby, OT
• Carter Koldewyn
• Katherine Kolendich, LMHCA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.