Individual provider Active NPI

Amy R. Hausman, L.AC

  • Acupuncturist
  • Katonah, NY
National Provider Identifier
1104070713
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
003802 Issued in NY
Practice address
109 Cedar Rd Apt B2
Katonah, NY 10536-3423
Phone
(917) 334-8907
NPI assigned
Nov 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 003802 NY Primary

Addresses

Primary practice location

109 Cedar Rd Apt B2
Katonah, NY 10536-3423

Mailing address

109 Cedar Rd Apt B2
Katonah, NY 10536-3423
Phone (917) 334-8907

Other practice location 1

928 Broadway
Suite 1200
New York, NY 10010-6008
Phone (917) 334-8907

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy@co-creativehealingarts.com Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1104070713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CEDAR RD APT B2",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105363423",
            "telephone_number": "917-334-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CEDAR RD APT B2",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105363423",
            "telephone_number": "917-334-8907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Broadway",
            "address_2": "Suite 1200",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100106008",
            "country_code": "US",
            "telephone_number": "917-334-8907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUSMAN",
        "first_name": "AMY",
        "middle_name": "R.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@co-creativehealingarts.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 Cedar Rd Apt B2",
            "city": "Katonah",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105363423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.