Stephanie M Nelson, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LAC-000731 Issued in AZ

Practice address

2532 E 6TH St
Tucson, AZ 85716-4404

Phone

(520) 440-7487

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie M Kelly Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Qilosophy, LLC

  • Acupuncturist
  • Tucson, AZ
  • NPI 1730654138
  NPD (past) Authorized official

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1053886457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 N HOWARD BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163253",
            "telephone_number": "520-440-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 E 6TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164404",
            "telephone_number": "520-440-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-000731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KELLY",
            "middle_name": "M",
            "credential": "L.M.T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lonnie A Nelson, PHD
• Nikole Michelle Nelson, PT, DPT
• Rachel Nelson, ATR
• Ruth Gretchen Nelson, M.D.
• Samuel Arnold Nelson, MD
• Thomas Erl Nelson, M.D.
• Nancy Neman
• Darima Nemanova, MD
• Sakinah A. Nemati, MSN, ARNP, BC
• Michelle R. Nemetz, PHARM.D.

• Acupuncturist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.