Individual provider Active NPI

Kathryn Wells, L.AC

  • Acupuncturist
  • Pinehurst, NC
National Provider Identifier
1013316819
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC 908 Issued in NC
Practice address
325 Page Rd # 9
Building 3 Suite 204
Pinehurst, NC 28374-8751
Phone
(910) 986-2612
NPI assigned
Aug 18, 2014
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X LAC 908 NC Primary

Addresses

Primary practice location

325 Page Rd # 9
Building 3 Suite 204
Pinehurst, NC 28374-8751

Mailing address

325 Page Rd # 9
Building 3 Suite 204
Pinehurst, NC 28374-8751
Phone (910) 986-2612

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
LAC 908NCMDAcupuncturist

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": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1013316819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PAGE RD # 9",
            "address_2": "BUILDING 3 SUITE 204",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748751",
            "telephone_number": "910-986-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PAGE RD # 9",
            "address_2": "BUILDING 3 SUITE 204",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748751",
            "telephone_number": "910-986-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KATHRYN",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "LAC 908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.