Jessica Lin Bolding, MS., L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC0000717 Issued in WA

Practice address

11520 SW 220TH St
Vashon, WA 98070-6448

Phone

(206) 463-9066

Fax

(206) 774-5929

NPI assigned

Feb 22, 2007

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.

• Paradise Ridge Acupuncture, Herbs & Massage

  • Acupuncturist
  • Vashon, WA
  • NPI 1689843120
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992830046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 SW 220TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980706448",
            "telephone_number": "206-463-9066",
            "fax_number": "206-774-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 SW 220TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980706448",
            "telephone_number": "206-463-9066",
            "fax_number": "206-774-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDING",
        "first_name": "JESSICA",
        "middle_name": "LIN",
        "credential": "MS., L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC0000717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Benedict
• Meghan Young Bergeron, ARNP
• Candise Bertram
• Stephen J Bird
• Corene Kay Bodily-Goodmansen, D.C.
• Kjirste Boyce, LMT
• Lizabeth A Brenneman, MA
• Caroline S Brinkley, MD
• Kyle Jason Britz, LMP
• Jose Brizard

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.