Tracy Lynn Rudnicki, L.AC., MS, NCCAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

007256 Issued in NY

Practice address

3065 Southwestern Blvd Ste 200
Orchard Park, NY 14127-1239

Phone

(530) 412-1213

NPI assigned

Jan 29, 2007

Last updated

Jan 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southtowns Acupuncture PLLC

  dba Southtowns Acupuncture

  • Acupuncturist
  • Hamburg, NY
  • NPI 1346926441
  NPD Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1194861187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD STE 200",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271236",
            "telephone_number": "530-412-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 SOUTHWESTERN BLVD STE 200",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271239",
            "telephone_number": "530-412-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICKI",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "L.AC., MS, NCCAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-01-03",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9336",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Marie Rosinski, LCSW-R
• Nia Lenora Ross, MSW
• Lisa Ann Roussi, SLP
• John Douglas Rowe, PA-C
• Faye Roy
• Jennifer M Ruh, M. D.
• Richard Joseph Ruh, M. D.
• Kathleen Marie Rusnak
• Barbara Dore Russell
• Samantha E Russell, LPN

• Acupuncturist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.