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Deactivated NPI 1902442569 Deactivated / Inactive NPI Male Practitioner

Stas Kudla

Acupuncturist • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stas Kudla has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 19, 2019
NPI Deactivation Date May 10, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

Stas Kudla was a registered Acupuncturist practicing in Seattle, WA. Throughout an active medical career spanning 4 years, Stas Kudla provided care at the practice location at 3515 SW ALASKA ST until profile deactivation on 2023-05-10.

Practice Location & Contact Primary Location

Practice Address

3515 Sw Alaska St

Seattle, WA 981262730

Telephone 2069372066
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
482 Specialists

Practicing in Seattle, WA (1531 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Sierra Swing , PsyD

Psychologist - Clinical

NPI 1063641041

Doctor of Psychology (Psy.D.)

Daniel Seroussi

Counselor - Mental Health

NPI 1194559906
Daniel Jones , LMP

Massage Therapist

NPI 1215125190

Licensed Massage Practitioner

Emily Steen , BA, BCN

Student in an Organized Health Care Education/Training Program

NPI 1396533535

Bachelor of Arts, BCN

Virginia Cramer , MA

Counselor - Mental Health

NPI 1477495851

Master of Arts

Dr. Tasmyn Bowes , PsyD

Psychologist - Clinical

NPI 1669605259

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated May 10, 2023

Record deactivated on May 10, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2023

Naturopath

NPI Profile Active November 19, 2019

NPI status registered as active in NPPES database

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Updated Practice Location November 19, 2019

Registered at 3515 SW ALASKA ST, SEATTLE, WA 981262730 (Tel: 2069372066)

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Updated Business Mailing Address November 19, 2019

Registered at 3515 SW ALASKA ST, SEATTLE, WA 981262730 (Tel: 2069372066)

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Provider Name / Credentials Updated November 19, 2019

Recorded as STAS KUDLA

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2019

Acupuncturist

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Initial NPI Registration & Enumeration November 19, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902442569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2019
Last Update: November 19, 2019
Deactivation Date: May 10, 2023

Mailing Address

3515 Sw Alaska St

Seattle, WA 981262730

Phone: 2069372066

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.