Individual provider Active NPI

Crystal Noelle Cliff, DACM

  • Acupuncturist
  • Charlotte, NC
National Provider Identifier
1083379457
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
737 Issued in NC
Practice address
2010 Chesterfield Ave
Charlotte, NC 28205-0013
Phone
(980) 819-1213
NPI assigned
Nov 1, 2021
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 737 NC Primary

Addresses

Primary practice location

2010 Chesterfield Ave
Charlotte, NC 28205-0013

Mailing address

2010 Chesterfield Ave
Charlotte, NC 28205-0013
Phone (980) 819-1213

Other identifiers 1

IdentifierTypeStateIssuer
0737OtherNCACUPUNCTURE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crystal@phoenixmoonacupuncture.com Direct

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
737NCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1083379457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CHESTERFIELD AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282050013",
            "telephone_number": "980-819-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CHESTERFIELD AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282050013",
            "telephone_number": "980-819-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFF",
        "first_name": "CRYSTAL",
        "middle_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "DACM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "0737",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal@phoenixmoonacupuncture.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2010 Chesterfield Ave",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282050013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.