Active NPI
Elyse Tera, L.AC DIPL.AC
- Acupuncturist
- Yuma, AZ
National Provider Identifier
1164868048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0587
- Practice address
- 1150 W 24TH St
Suite E
Yuma, AZ 85364-8368 - Phone
- (928) 328-1975
- Fax
- (928) 783-1975
- NPI assigned
- May 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0587 | AZ | Primary |
Addresses
Primary practice location
1150 W 24TH St
Suite E
Yuma, AZ 85364-8368
Mailing address
1150 W 24TH St
Suite E
Yuma, AZ 85364-8368
Phone (928) 328-1975
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0587 | AZ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1164868048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 W 24TH ST",
"address_2": "SUITE E",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648368",
"telephone_number": "928-328-1975",
"fax_number": "928-783-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W 24TH ST",
"address_2": "SUITE E",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648368",
"telephone_number": "928-328-1975",
"fax_number": "928-783-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERA",
"first_name": "ELYSE",
"credential": "L.AC DIPL.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-17",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "0587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.