Individual provider Active NPI

Kimberly Elizabeth Chenoweth, EAMP, L.AC.

  • Acupuncturist
  • Port Orchard, WA
National Provider Identifier
1992363717
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60931477 Issued in WA
Practice address
700 Prospect St Ste 101
Port Orchard, WA 98366-5399
Phone
(360) 209-4551
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60931477 WA Primary

Addresses

Primary practice location

700 Prospect St Ste 101
Port Orchard, WA 98366-5399

Mailing address

11110 SE Tola Rd
Port Orchard, WA 98366-7900
Phone (858) 229-6496

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
AC60931477WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Starlight Acupuncture & Holistic Wellness PLLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1992363717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 SE TOLA RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983667900",
            "telephone_number": "858-229-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PROSPECT ST STE 101",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665399",
            "telephone_number": "360-209-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENOWETH",
        "first_name": "KIMBERLY",
        "middle_name": "ELIZABETH",
        "credential": "EAMP, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60931477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.