Olivia Sage, LAC DIPLAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LAC010121 Issued in AZ

Practice address

29834 N Cave Creek Rd Ste 110
Cave Creek, AZ 85331-2384

Phone

(602) 596-9428

NPI assigned

Oct 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1194322768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29862 N TATUM BLVD APT 2069",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312379",
            "telephone_number": "602-596-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29834 N CAVE CREEK RD STE 110",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312384",
            "telephone_number": "602-596-9428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8617 W Union Hills Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853827001",
            "country_code": "US",
            "telephone_number": "623-977-2304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGE",
        "first_name": "OLIVIA",
        "name_prefix": "Ms.",
        "credential": "LAC DIPLAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC010121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29834 N Cave Creek Rd Ste 110",
            "city": "Cave Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853312384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Acupuncturist in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.