Individual provider Active NPI

Diana Pedersen, L.AC.

  • Acupuncturist
  • Lombard, IL
National Provider Identifier
1043931371
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001614 Issued in IL
Practice address
3 N Main St
Lombard, IL 60148-2352
Phone
(630) 280-6044
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001614 IL Primary

Addresses

Primary practice location

3 N Main St
Lombard, IL 60148-2352

Mailing address

3 N Main St
Lombard, IL 60148-2352
Phone (630) 280-6044

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
198.001614ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Point Acupuncture LLC Acupuncturist CurrentSince Mar 17, 2024 Accepting new patients

Locations

350 W 22nd St
Ste 112
Lombard, IL 60148
Phone (630) 261-0001

3 N Main St
Lombard, IL 60148

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1043931371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482352",
            "telephone_number": "630-280-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 N MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482352",
            "telephone_number": "630-280-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "DIANA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.