Heavenly Ancestor 5 Element Acupuncture LLC
NPI 1114387560ActiveOrganization· Acupuncturist· Bainbridge Island, WA
Acupuncturist in Bainbridge Island, Washington, registered in NPPES in February 2016. The authorized official on file is Kirsten Marie Thomassen, EAMP, L.AC., DIPL.AC, Acupuncturist.
Overview
| NPI | 1114387560 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2016 |
| Last updated in NPPES | Mar 1, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Acupuncturist Primary | 171100000X | AC 60354712 | WA |
| Acupuncturist | 171100000X | 5401000102 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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