Individual provider Active NPI

Andrea Gail Barouch-Hebb, L.AC.

  • Acupuncturist
  • Kingston, NY
National Provider Identifier
1043434103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0031541 Issued in NY
Practice address
324 Washington Ave
Kingston, NY 12401-4470
Phone
(845) 331-0300
Fax
(845) 331-1130
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0031541 NY Primary

Addresses

Primary practice location

324 Washington Ave
Kingston, NY 12401-4470

Mailing address

10 Lois LN
Saugerties, NY 12477-3539
Phone (845) 246-2782

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
0031541NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Soltanoff Chiropractic 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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043434103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LOIS LN",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124773539",
            "telephone_number": "845-246-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 WASHINGTON AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014470",
            "telephone_number": "845-331-0300",
            "fax_number": "845-331-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROUCH-HEBB",
        "first_name": "ANDREA",
        "middle_name": "GAIL",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "0031541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.