Evergreen Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01203 Issued in TX

Legal business name

EVERGREEN ACUPUNCTURE

Practice address

3004 Medical Arts St
Austin, TX 78705-3305

Phone

(512) 300-4047

NPI assigned

Jan 31, 2011

Last updated

Jan 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie Quezada, L.AC.NPI 1528377207

Title

Owner

Phone

(512) 300-4047

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie Quezada, L.AC

  • Acupuncturist
  • Austin, TX
  • NPI 1528377207
  Authorized official Same address or phone

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1144526658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 SHELBOURNE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787522148",
            "telephone_number": "512-300-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 MEDICAL ARTS ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053305",
            "telephone_number": "512-300-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "QUEZADA",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-300-4047",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01203",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT038682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Ben Even, DMD
• Alexis Everett
• Charles Earl Everett III, LCSW
• Haley Walker Everett, AGACNP
• Kendra Everette, SLP
• Evergreen Mental Health and Wellness LLC
• Everguide Health PLLC
• Mary Nicole Everhart, PA
• Everitt Dental
• Mariah Renee Everitt, LPC-ASSOCIATE

• Acupuncturist in Austin, TX
• Providers in Austin, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.