Adrienne Joelle Goodman, DACM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004574 Issued in NY

Practice address

669 Route 31
Macedon, NY 14502-9107

Phone

(315) 310-5538

NPI assigned

Apr 30, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Victor Acupuncture, PLLC

  • Acupuncturist
  • Macedon, NY
  • NPI 1912371857
  NPD Authorized official

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1003107632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 ROUTE 31",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145029107",
            "telephone_number": "315-310-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 ROUTE 31",
            "city": "MACEDON",
            "state": "NY",
            "postal_code": "145029107",
            "telephone_number": "315-310-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ADRIENNE",
        "middle_name": "JOELLE",
        "name_prefix": "Dr.",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.unifiedpractice.com/",
            "affiliation": "N",
            "address_1": "669 Route 31",
            "city": "Macedon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145029107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gananda Walworth Physical Therapy
• Betsy L George-Jones, PT
• Christina Marie Gergely, M.S., CCC-SLP
• Samantha Marie Glasgow
• Claudia M Gonzalez Suarez, MD
• Robert Lance Gray
• Stephanie K Habecker, MS, LAT, CSCS, ATC
• Delrose W Hall
• Harborside Dental Team at Gananda
• Daniel Harris, MD

• All providers in Macedon, NY
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.