Individual provider Active NPI

Gabriela Camacho-Vasconez, LAC

  • Acupuncturist
  • Easton, PA
National Provider Identifier
1114593563
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK001345 Issued in PA
Practice address
101 S 3Rd St Ste 203
Easton, PA 18042-4524
Phone
(484) 536-9197
NPI assigned
May 27, 2021
Reactivated
Sep 3, 2021
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK001345 PA Primary

Addresses

Primary practice location

101 S 3Rd St Ste 203
Easton, PA 18042-4524

Mailing address

735 Schley Ave
Alpha, NJ 08865-4269
Phone (484) 536-9197

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
AK001345PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossing Health Acupuncture Acupuncturist CurrentSince Jun 1, 2021 Accepting new patients

Locations

101 S 3rd St
Ste 203
Easton, PA 18042
Phone (484) 536-9197

400 Northampton St
Ste 402
Easton, PA 18042

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1114593563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 SCHLEY AVE",
            "city": "ALPHA",
            "state": "NJ",
            "postal_code": "088654269",
            "telephone_number": "484-536-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S 3RD ST STE 203",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424524",
            "telephone_number": "484-536-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO-VASCONEZ",
        "first_name": "GABRIELA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "deactivation_date": "2021-05-27",
        "reactivation_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

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

Verify at the official NPI Registry.