Active NPI
Kimberly Elizabeth Chenoweth, EAMP, L.AC.
- Acupuncturist
- Port Orchard, WA
National Provider Identifier
1992363717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC60931477
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AC60931477 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Acupuncturist
- Port Orchard, WA
- NPI 1922660638
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.