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Individual provider Active NPI

Cassandra A Lidin, M.AC.,L.AC.,DIPL.AC

  • Acupuncturist
  • Anchorage, AK
National Provider Identifier
1003066333
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
A120 Issued in AK
Practice address
700 W. 41St Ave.,
Ste 101
Anchorage, AK 99503
Phone
(907) 726-7070
Fax
(907) 337-0493
NPI assigned
Sep 23, 2008
Last updated
Mar 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X A120 AK Primary

Addresses

Primary practice location

700 W. 41St Ave.,
Ste 101
Anchorage, AK 99503

Mailing address

5432 E. Northern Lights Blvd.
Ste. 407
Anchorage, AK 99508
Phone (907) 726-7070

Other names 1

  • Cassandra A Lidin-Lamon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A120AKMDAcupuncturist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1003066333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 E. NORTHERN LIGHTS BLVD.",
            "address_2": "STE. 407",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-726-7070",
            "fax_number": "907-337-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W. 41ST AVE.,",
            "address_2": "STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99503",
            "telephone_number": "907-726-7070",
            "fax_number": "907-337-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDIN",
        "first_name": "CASSANDRA",
        "middle_name": "A",
        "credential": "M.AC.,L.AC.,DIPL.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "A120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "LIDIN-LAMON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.