Individual provider Active NPI

Stephanie Carolle Fischer, M.AC, L.AC., DA

  • Acupuncturist
  • West Greenwich, RI
National Provider Identifier
1164752523
Registry record updated Aug 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
DA00372 Issued in RI
Practice address
66 Nooseneck Hill Rd
West Greenwich, RI 02817-1523
Phone
(401) 397-6333
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 242772 MA
Acupuncturist 171100000X DA00372 RI Primary

Addresses

Primary practice location

66 Nooseneck Hill Rd
West Greenwich, RI 02817-1523

Mailing address

106 Leedham St
South Attleboro, MA 02703-7418
Phone (617) 817-3986

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
242772MAMDAcupuncturist
DA00372RIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1164752523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LEEDHAM ST",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027037418",
            "telephone_number": "617-817-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 NOOSENECK HILL RD",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028171523",
            "telephone_number": "401-397-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "STEPHANIE",
        "middle_name": "CAROLLE",
        "name_prefix": "Mrs.",
        "credential": "M.AC, L.AC., DA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "242772",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DA00372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; 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.