Individual provider Active NPI

Catherine Ann Degeorge, EAMP, L.AC., CPHT

  • Acupuncturist
  • Shoreline, WA
National Provider Identifier
1992000988
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60204433 Issued in WA
Practice address
18528 Firlands Way N
Suite B
Shoreline, WA 98133-3985
Phone
(339) 225-0650
Fax
(206) 546-6022
NPI assigned
Jan 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60204433 WA Primary

Addresses

Primary practice location

18528 Firlands Way N
Suite B
Shoreline, WA 98133-3985

Mailing address

18528 Firlands Way N
Suite B
Shoreline, WA 98133-3985
Phone (339) 225-0650

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

LicenseStateTypeSpecialty
AC60204433WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1992000988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18528 FIRLANDS WAY N",
            "address_2": "SUITE B",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333985",
            "telephone_number": "339-225-0650",
            "fax_number": "206-546-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18528 FIRLANDS WAY N",
            "address_2": "SUITE B",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333985",
            "telephone_number": "339-225-0650",
            "fax_number": "206-546-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEORGE",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "EAMP, L.AC., CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60204433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.