Individual provider Active NPI

Theresa M Emrie, L.AC, MACOM

  • Acupuncturist
  • Sierra Vista, AZ
National Provider Identifier
1013231851
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0677 Issued in AZ
Practice address
471 Bartow Dr
Sierra Vista, AZ 85635-1838
Phone
(520) 236-3975
Fax
(520) 458-2045
NPI assigned
Mar 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0677 AZ Primary

Addresses

Primary practice location

471 Bartow Dr
Sierra Vista, AZ 85635-1838

Mailing address

PO Box 1603
Sierra Vista, AZ 85636-1603
Phone (520) 236-3975

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

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1013231851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1603",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856361603",
            "telephone_number": "520-236-3975",
            "fax_number": "520-458-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 BARTOW DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351838",
            "telephone_number": "520-236-3975",
            "fax_number": "520-458-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMRIE",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "L.AC, MACOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.