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Jungmin Ahn , LAC

Acupuncturist β€’ Everett, WA

Active NPI 1417191644 Individual Practitioner Male Practitioner
Practice location in NPPES

11419 19th Ave Se Ste C106
Everett, WA 982085120

Call 4255238878 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

11419 19th Ave Se Ste C106

Everett, WA 982085120

Telephone 4255238878
Fax 4255238868
Organization at the Same NPPES Address or Phone
Silverlake Clinic Inc. Facility NPI 1992361000

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

NPI first issued

2009

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 Everett and Washington

20 active clinicians are listed under Acupuncturist with a practice address in Everett, WA (1,486 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Everett

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

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

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES WA AC60047998

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.

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1417191644 (WA)

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location May 14, 2019

Registered at 11419 19TH AVE SE STE C106, EVERETT, WA 982085120 (Tel: 4255238878)

πŸ“
Updated Business Mailing Address May 14, 2019

Registered at 11419 19TH AVE SE STE C106, EVERETT, WA 982085120 (Tel: 4255238878)

βœ…
NPI Profile Active May 01, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 01, 2009

Registered at 2223 112TH AVE NE, BELLEVUE, WA 980042952 (Tel: 4253437631)

πŸ“
Business Mailing Address (Initial Record) May 01, 2009

Registered at PO BOX 3681, BELLEVUE, WA 980093681 (Tel: 4253437631)

πŸ‘€
Provider Name / Credentials (Initial Record) May 01, 2009

Recorded as JUNGMIN AHN, L.AC.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2009

Acupuncturist (license number reported to NPPES: WA AC60047998)

🟒
Initial NPI Registration & Enumeration May 01, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417191644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2009
Last Update: May 14, 2019
Sole Proprietor: Yes

Mailing Address

11419 19th Ave Se Ste C106

Everett, WA 982085120

Phone: 4255238878

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.