Active NPI
Stacy Frerking, L.AC
- Acupuncturist
- Branson, MO
National Provider Identifier
1225375694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 2012023705
- Practice address
- 500 W Main St
Ste 403
Branson, MO 65616-2727 - Phone
- (417) 699-6077
- NPI assigned
- Jan 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2012023705 | MO | Primary |
Addresses
Primary practice location
500 W Main St
Ste 403
Branson, MO 65616-2727
Mailing address
500 W Main St
Ste 403
Branson, MO 65616-2727
Phone (417) 699-6077
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012023705 | MO | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357344000000",
"number": "1225375694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"address_2": "STE 403",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162727",
"telephone_number": "417-699-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MAIN ST",
"address_2": "STE 403",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162727",
"telephone_number": "417-699-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRERKING",
"first_name": "STACY",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-05",
"last_updated": "2013-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MO",
"license": "2012023705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.