Organization Active NPI

Fernandes Acupuncture and Chinese Herbal Medicine, Inc.

  • Acupuncturist
  • Marlborough, MA
National Provider Identifier
1023552692
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
233902 Issued in MA
Legal business name
FERNANDES ACUPUNCTURE AND CHINESE HERBAL MEDICINE, INC.
Practice address
277 Main St
Suite 208
Marlborough, MA 01752-5508
Phone
(978) 473-9393
Fax
(978) 568-0767
NPI assigned
Dec 15, 2016
Last updated
Dec 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Diana Lisa Fernandes, LIC. AC., M.A.O.M.NPI 1770753667
Title
Owner
Phone
(978) 473-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 233902 MA Primary

Addresses

Primary practice location

277 Main St
Suite 208
Marlborough, MA 01752-5508

Mailing address

277 Main St
Suite 208
Marlborough, MA 01752-5508
Phone (978) 473-9393

National Provider Directory

National Provider Directory

Locations

277 Main St
Ste 208
Marlborough, MA 01752
Phone (781) 635-9754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1023552692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 MAIN ST",
            "address_2": "SUITE 208",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017525508",
            "telephone_number": "978-473-9393",
            "fax_number": "978-568-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MAIN ST",
            "address_2": "SUITE 208",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017525508",
            "telephone_number": "978-473-9393",
            "fax_number": "978-568-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDES ACUPUNCTURE AND CHINESE HERBAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-473-9393",
        "authorized_official_credential": "LIC. AC., M.A.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "233902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.