Organization Active NPI

Waterfront Acupuncture & Wellness, LLC

  • Acupuncturist
  • Plymouth, MA
National Provider Identifier
1124645023
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WATERFRONT ACUPUNCTURE & WELLNESS, LLC
Practice address
225 Water St Ste B239
Plymouth, MA 02360-4080
Phone
(508) 685-9556
NPI assigned
Jun 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Alexandra Andrew, MS, L.AC.NPI 1275021685
Title
Owner, Acupuncturist
Phone
(508) 287-5529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

225 Water St Ste B239
Plymouth, MA 02360-4080

Mailing address

225 Water St Ste B239
Plymouth, MA 02360-4080
Phone (508) 685-9556

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1124645023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WATER ST STE B239",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604080",
            "telephone_number": "508-685-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WATER ST STE B239",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604080",
            "telephone_number": "508-685-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT ACUPUNCTURE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "508-287-5529",
        "authorized_official_credential": "MS, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.