Active NPI
Gage Andreoli-Holmquist, DAOM
- Acupuncturist
- Providence, RI
National Provider Identifier
1104588185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- DAOM00084
- Practice address
- 245 Waterman St Ste 303
Providence, RI 02906-5215 - Phone
- (401) 388-0881
- Fax
- (401) 249-4968
- NPI assigned
- Oct 7, 2021
- Last updated
- Jul 6, 2023
- Sex
- Male
- 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 | DAOM00084 | RI | Primary |
Addresses
Primary practice location
245 Waterman St Ste 303
Providence, RI 02906-5215
Mailing address
18 Maxson St
Ashaway, RI 02804-1604
Phone (401) 744-9847
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DAOM00084 | RI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focal Acupuncture PC | Acupuncturist | Current | Accepting new patients |
Locations
245 Waterman St
Ste 303
Providence, RI 02906
Phone (401) 388-0881
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Providence, RI
- NPI 1265110688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1104588185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MAXSON ST",
"city": "ASHAWAY",
"state": "RI",
"postal_code": "028041604",
"telephone_number": "401-744-9847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 WATERMAN ST STE 303",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065215",
"telephone_number": "401-388-0881",
"fax_number": "401-249-4968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREOLI-HOLMQUIST",
"first_name": "GAGE",
"credential": "DAOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-07",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "RI",
"license": "DAOM00084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.