HEAVENLY ANCESTOR 5 ELEMENT ACUPUNCTURE LLC (NPI# 1114387560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114387560 |
| Entity Type | Organization |
| Organization Name | HEAVENLY ANCESTOR 5 ELEMENT ACUPUNCTURE LLC |
| Other Organization Name | 5 ELEMENT ACUPUNCTURE |
| Practice Address |
7701 Westerly Ln Ne Bainbridge Island WA 98110-2698 |
| Practice Telephone | 2062456119 |
| Mailing Telephone | 2062456119 |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | MS. KIRSTEN MARIE THOMASSEN (ACUPUNCTURIST) |
| Authorized Official Telephone | 2062456119 |
| Authorized Official Credential | EAMP, L.AC., DIP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 5401000102 | MI | Other Service Providers |
| Y | 171100000X | Acupuncturist | AC 60354712 | WA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| 5 Element Acupuncture | Doing Business As Name - Organization |
| Street Address |
7701 WESTERLY LN NE |
| City | BAINBRIDGE ISLAND |
| State | WA |
| Zip Code | 98110-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667021 | William Reddy | Counselor | 8380 Ne Beck Road, Bainbridge Island, WA 98110 | 2020-07-29 |
| 1144875352 | Kaitlyn Barr | Physical Therapist | Kitsap Physical Therapy, 945 Hildebrand Ln Ste 220, Bainbridge Island, WA 98110 | 2019-08-05 |
| 1326601055 | Chloe Samantha Simon | Specialist/Technologist | 9650 Green Spot Pl., Req, Bainbridge Island, WA 98110 | 2019-04-18 |
| 1043721228 | Laura West Baker | Counselor | 11073 Madison Ave. N.e., Bainbridge Island, WA 98110 | 2017-10-16 |
| 1609305978 | Autism Coaching, Consulting, and Training, LLC | Early Intervention Provider Agency | 676 Lovell Ave Nw, Bainbridge Island, WA 98110 | 2017-06-08 |
| 1639423692 | Alice Hunting | Massage Therapist | 11700 Ne Meadowmeer Circle, Bainbridge Island, WA 98110 | 2012-10-30 |
| 1578813929 | Kitsap County Fire District No 2 | Ambulance | 8895 Madison Ave Ne, Bainbridge Island, WA 98110 | 2012-09-13 |
| 1841582707 | David Warren Sugarman | Psychologist | 4080 Crystal Springs Dr Ne, Bainbridge Island, WA 98110 | 2011-05-11 |
| 1346570371 | Trina Ann Peterson | Registered Nurse | 2213 N.e. Victorian Lane, C, Bainbridge Island, WA 98110 | 2010-01-14 |
| 1902135437 | Sally Karen Vest | Occupational Therapy Assistant | 10861 Manitou Park Blvd. Ne, Bainbridge Island, WA 98110 | 2009-12-11 |
| Find all providers in zip 98110 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649705260 | Heidi Kalejs | Acupuncturist | 6205 Harbor Crest Dr Ne, Bainbridge Island, WA 98110-3109 | 2017-04-21 |
| 1730335944 | Leanne D Preble | Acupuncturist | 945 Hildebrand Ln Ne Ste 231, Bainbridge Island, WA 98110-2877 | 2008-08-07 |
| 1477673028 | Halin Alissa Zindell | Acupuncturist | 360 Knechtel Way Ne Unit 406, Bainbridge Island, WA 98110-2878 | 2007-03-29 |
| 1477626323 | Bajda Valentina Welty | Acupuncturist | 9431 Coppertop Loop Ne Unit 206, Bainbridge Island, WA 98110 | 2006-11-16 |
| 1871670604 | Anna Rebecca Allender | Acupuncturist | 425 Ericksen Ave Ne, Suite 200, Bainbridge Island, WA 98110-2867 | 2006-11-01 |
| 1982789871 | Alexander C Kraft | Acupuncturist | 159 Wyatt Way Ne, Bainbridge Island, WA 98110-1878 | 2006-10-26 |
| 1730716630 | Brianna Christine Loken | Acupuncturist | 9431 Coppertop Loop Ne Unit 206, Bainbridge Island, WA 98110-3728 | 2020-03-23 |
| 1356988851 | Nick Spurlock | Acupuncturist | 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110-5118 | 2019-12-03 |
| 1699926519 | Simon Potter | Acupuncturist | 187 Parfitt Way Sw, Suite G110, Bainbridge Island, WA 98110-2595 | 2008-10-09 |
| 1619183670 | Mary E Cook | Acupuncturist | 533 Madison Ave N, Suite D, Bainbridge Island, WA 98110-1749 | 2007-05-15 |
| Find all providers in BAINBRIDGE ISLAND | ||||
| City | BAINBRIDGE ISLAND |
| Zip Code | 98110 |
Please comment or provide details below to improve the information on HEAVENLY ANCESTOR 5 ELEMENT ACUPUNCTURE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.