Talena Wilson Debaun, CLC, MAC, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

089 Issued in AZ

Practice address

308 N Sage St
Pearce, AZ 85625-4009

Phone

(520) 444-2349

NPI assigned

Oct 14, 2020

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2020.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1114525979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "PEARCE",
            "state": "AZ",
            "postal_code": "856250493",
            "telephone_number": "520-444-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N SAGE ST",
            "city": "PEARCE",
            "state": "AZ",
            "postal_code": "856254009",
            "telephone_number": "520-444-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBAUN",
        "first_name": "TALENA",
        "middle_name": "WILSON",
        "name_prefix": "Ms.",
        "credential": "CLC, MAC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "089",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pearce, AZ
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.