Organization Active NPI

Vitruvian Holistic Healthcare

  • Acupuncturist
  • Burien, WA
National Provider Identifier
1982340675
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
VITRUVIAN HOLISTIC HEALTHCARE
Practice address
13258 1St Ave S
Burien, WA 98168-2688
Phone
(425) 835-3077
NPI assigned
May 6, 2022
Last updated
May 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Jolee Conver
Title
Billing Manager
Phone
(206) 567-9012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

13258 1St Ave S
Burien, WA 98168-2688

Mailing address

13258 1St Ave S
Burien, WA 98168-2688

Other identifiers 1

IdentifierTypeStateIssuer
AC60306480OtherWALICENSE

National Provider Directory

National Provider Directory

Locations

13258 1st Ave S
Burien, WA 98168
Phone (425) 835-3077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1982340675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13258 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981682688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13258 1ST AVE S",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981682688",
            "telephone_number": "425-835-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITRUVIAN HOLISTIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "CONVER",
        "authorized_official_first_name": "JOLEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "206-567-9012"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AC60306480",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.