Individual provider Active NPI

Mary Anne Chiappone, L. AC.

  • Acupuncturist
  • Watertown, NY
National Provider Identifier
1174098362
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006343 Issued in NY
Practice address
1511 Washington St Ste 2
Watertown, NY 13601-9314
Phone
(315) 778-3892
Fax
(315) 221-9582
NPI assigned
Oct 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006343 NY Primary

Addresses

Primary practice location

1511 Washington St Ste 2
Watertown, NY 13601-9314

Mailing address

1511 Washington St Ste 2
Watertown, NY 13601-9314
Phone (315) 778-3892

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
006343NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Treating the Root Acupuncture and Massage Therapy, PLLC Acupuncturist CurrentSince Feb 21, 2021 Accepting new patients

Locations

1511 Washington St
Ste 2
Watertown, NY 13601
Phone (315) 405-4050

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1174098362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 WASHINGTON ST STE 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019314",
            "telephone_number": "315-778-3892",
            "fax_number": "315-221-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WASHINGTON ST STE 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019314",
            "telephone_number": "315-778-3892",
            "fax_number": "315-221-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAPPONE",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.