Individual provider Active NPI

Heather Mae Shultz, D. AC.

  • Acupuncturist
  • Marlton, NJ
National Provider Identifier
1023312410
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ00118500 Issued in NJ
Practice address
100 Brick Rd Ste 212
Marlton, NJ 08053-2146
Phone
(856) 452-1782
Fax
(856) 823-1960
NPI assigned
Dec 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00118500 NJ Primary
Acupuncturist 171100000X AK001004 PA

Addresses

Primary practice location

100 Brick Rd Ste 212
Marlton, NJ 08053-2146

Mailing address

100 Brick Rd Ste 212
Marlton, NJ 08053-2146
Phone (856) 452-1782

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
25MZ00118500NJMDAcupuncturist
AK001004PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Shultz Acupuncture LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1023312410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRICK RD STE 212",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532146",
            "telephone_number": "856-452-1782",
            "fax_number": "856-823-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRICK RD STE 212",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532146",
            "telephone_number": "856-452-1782",
            "fax_number": "856-823-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "HEATHER",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "D. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00118500",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.