Active NPI
Nicole Marie Myers-Koenig, D.AC
- Acupuncturist
- Tucson, AZ
National Provider Identifier
1043977952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0896
- Practice address
- 920 S Pinto PL
Tucson, AZ 85748-7922 - Phone
- (520) 982-5332
- NPI assigned
- Nov 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0896 | AZ | Primary |
Addresses
Primary practice location
920 S Pinto PL
Tucson, AZ 85748-7922
Mailing address
920 S Pinto PL
Tucson, AZ 85748-7922
Phone (520) 982-5332
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0896 | AZ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1043977952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 S PINTO PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857487922",
"telephone_number": "520-982-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S PINTO PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857487922",
"telephone_number": "520-982-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS-KOENIG",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-26",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "AZ",
"license": "0896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.