Individual provider Active NPI

Lindsay Gaylord Drerup, DAOM, LAC

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1114757242
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC02177 Issued in TX
Practice address
4107 Medical Pkwy Ste 202
Austin, TX 78756-3738
Phone
(512) 738-3757
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC02177 TX Primary

Addresses

Primary practice location

4107 Medical Pkwy Ste 202
Austin, TX 78756-3738

Mailing address

11101 Currin LN
Austin, TX 78748-3943
Phone (512) 922-5723

Other practice location 1

5301 Southwest Pkwy Ste 350
Austin, TX 78735-8985
Phone (512) 738-3757

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
AC02177TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1114757242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 CURRIN LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483943",
            "telephone_number": "512-922-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 MEDICAL PKWY STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563738",
            "telephone_number": "512-738-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Southwest Pkwy Ste 350",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358985",
            "country_code": "US",
            "telephone_number": "512-738-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRERUP",
        "first_name": "LINDSAY",
        "middle_name": "GAYLORD",
        "name_prefix": "Dr.",
        "credential": "DAOM, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC02177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.