Active NPI
Kelly Marie O'Connor, DACM, MSTOM
- Acupuncturist
- Agawam, MA
National Provider Identifier
1043782006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Practice address
- 200 Silver St Unit 105
Agawam, MA 01001-3067 - Phone
- (413) 612-4360
- Fax
- (413) 261-6242
- NPI assigned
- Dec 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 279206 | MA | |
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
200 Silver St Unit 105
Agawam, MA 01001-3067
Mailing address
32 Neptune Ave
West Springfield, MA 01089-2637
Phone (413) 374-9248
Other practice location 1
46 East Street
Granby, MA 01033-0103
Phone (413) 374-9248
Other names 1
- Kelly Marie O'Connor-Ramirez
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279206 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wellness Point | Current | 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.
-
- Clinic/Center
- Feeding Hills, MA
- NPI 1083221014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1043782006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 NEPTUNE AVE",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010892637",
"telephone_number": "413-374-9248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SILVER ST UNIT 105",
"city": "AGAWAM",
"state": "MA",
"postal_code": "010013067",
"telephone_number": "413-612-4360",
"fax_number": "413-261-6242"
}
],
"practiceLocations": [
{
"address_1": "46 East Street",
"address_purpose": "LOCATION",
"city": "Granby",
"state": "MA",
"postal_code": "010330103",
"country_code": "US",
"telephone_number": "413-374-9248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "KELLY",
"middle_name": "MARIE",
"credential": "DACM, MSTOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-31",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "279206",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "O'CONNOR-RAMIREZ",
"middle_name": "MARIE",
"credential": "DACM",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Agawam, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.