Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jamie Lynne Davis , DAOM, LAC

Acupuncturist β€’ Sandpoint, ID

Active NPI 1407092604 Individual Practitioner Female Practitioner
Practice location in NPPES

200 Main St
Sandpoint, ID 838641435

Call 2082640644 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 Main St

Sandpoint, ID 838641435

Telephone 2082640644
Fax 8889796134
Organization at the Same NPPES Address or Phone
Lake Life Acupuncture, Llc Facility NPI 1841112323

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Sandpoint and Idaho

8 active clinicians are listed under Acupuncturist with a practice address in Sandpoint, ID (116 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-07
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES ID ACU-348

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.

Acupuncturist

NUCC Taxonomy Code: 171100000X

License # reported to NPPES WA AC600065362

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.

Massage Therapist

NUCC Taxonomy Code: 225700000X

License # reported to NPPES WA MA00023205

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Insurance
ACU-348 (ID)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location March 07, 2026

Registered at 200 MAIN ST, SANDPOINT, ID 838641435 (Tel: 2082640644)

πŸ“
Updated Business Mailing Address March 07, 2026

Registered at 200 MAIN ST, SANDPOINT, ID 838641435 (Tel: 2082640644)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2026

Acupuncturist (license number reported to NPPES: ID ACU-348)

πŸ“
Updated Practice Location October 13, 2022

Registered at 30736 HIGHWAY 200 STE 104, PONDERAY, ID 838528701 (Tel: 2082640644)

πŸ“
Updated Business Mailing Address October 13, 2022

Registered at 30736 HIGHWAY 200 STE 104, PONDERAY, ID 838528701 (Tel: 2082640644)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2022

Acupuncturist (license number reported to NPPES: WA AC600065362)

πŸ“
Updated Practice Location December 10, 2019

Registered at 620 WELLINGTON PL STE 1, HOPE, ID 838368709 (Tel: 2082640644)

πŸ‘€
Provider Name / Credentials Updated December 10, 2019

Recorded as JAMIE DAVIS, DAOM, LAC.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2019

Acupuncturist (license number reported to NPPES: ID ACU-348)

βœ…
NPI Profile Active July 26, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 26, 2012

Registered at 204 S 348TH ST, SUITE 1, FEDERAL WAY, WA 980037041 (Tel: 2063042343)

πŸ“
Business Mailing Address (Initial Record) July 26, 2012

Registered at 1418 S 234TH ST, DES MOINES, WA 981987493 (Tel: 2063042343)

πŸ‘€
Provider Name / Credentials (Initial Record) July 26, 2012

Recorded as JAMIE DAVIS, LMP, LAC.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2012

Acupuncturist (license number reported to NPPES: WA AC600065362)

🟒
Initial NPI Registration & Enumeration December 18, 2008

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1407092604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2008
Last Update: March 07, 2026
Sole Proprietor: Yes

Mailing Address

200 Main St

Sandpoint, ID 838641435

Phone: 2082640644

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.