Amelia Pantalos, L.AC., LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC119 Issued in KY

Practice address

311 Wallace Ave
Louisville, KY 40207-3007

Phone

(502) 290-8788

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Meridian Acupuncture & Herbal Medicine

  • Acupuncturist
  • Louisville, KY
  • NPI 1003160151
  NPD (past)

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1205554474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WALLACE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073007",
            "telephone_number": "502-718-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WALLACE AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073007",
            "telephone_number": "502-290-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALOS",
        "first_name": "AMELIA",
        "credential": "L.AC., LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "172924",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "KY",
            "license": "AC119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amelia@meridianlouisville.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "311 Wallace Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402073007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Panepinto, RBT
• John Ross Pank, M.D.
• Panniche Compounding, LTD Co
• Sadip Pant, MD
• Tudor Panta, OTR
• Diana C. Pantalos, RD
• Stephanie Marie Pantera
• Mary Lee Pantess, NP
• Pantheon Family Services
• Patrick-Jason Panzu, MD

• Acupuncturist in Louisville, KY
• Providers in Louisville, KY by specialty
• Acupuncturist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.