Lorrie Barnett Fissenden, MSOM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19974 Issued in CA

Practice address

1615 Hill Rd Ste G
Novato, CA 94947-4338

Phone

(415) 761-1440

NPI assigned

Apr 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Glow Studio Acupuncture, Professional Corporation

  • Clinic/Center
  • Novato, CA
  • NPI 1730947243
  NPD Authorized official
• Loveland Acupuncture

  • Acupuncturist
  • Loveland, CO
  • NPI 1942737382
  NPD (past)

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1164928404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HILL RD STE G",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474338",
            "telephone_number": "415-761-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HILL RD STE G",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474338",
            "telephone_number": "415-761-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805383211",
            "country_code": "US",
            "telephone_number": "970-599-1027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISSENDEN",
        "first_name": "LORRIE",
        "middle_name": "BARNETT",
        "credential": "MSOM, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002388",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Nayheli Fiel
• Kenneth H Fife, M.D.
• Joy Ann Fillman, PHD
• Barbara Finzen, M.D.
• Lula Mae Fisher
• Carmela R. Floro, LMFT
• Brenda Fonarev, MS COUNSELING
• Margo Dwight Forbes, MFT
• Sarah Fox
• Andrew Frazier

• Acupuncturist in Novato, CA
• Providers in Novato, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.