Individual provider Active NPI

Kimberly R Bickford, LAC. DIPL. OM

  • Acupuncturist
  • Raymond, ME
National Provider Identifier
1023566650
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
7551288 Issued in ME
Practice address
1278 Roosevelt TRL
Raymond, ME 04071-6604
Phone
(207) 312-4237
NPI assigned
Sep 12, 2016
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 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 7551288 ME Primary

Addresses

Primary practice location

1278 Roosevelt TRL
Raymond, ME 04071-6604

Mailing address

84 Portland Rd
Gray, ME 04039-9503
Phone (207) 312-4237

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
7551288MEMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1023566650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PORTLAND RD",
            "city": "GRAY",
            "state": "ME",
            "postal_code": "040399503",
            "telephone_number": "207-312-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 ROOSEVELT TRL",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716604",
            "telephone_number": "207-312-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKFORD",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LAC. DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "7551288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.