Active NPI
Kil-Young Yu, DACM
- Acupuncturist
- Cookeville, TN
National Provider Identifier
1245404607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 377
- Practice address
- 116 Locust Ave Ste F
Cookeville, TN 38501-3515 - Phone
- (931) 400-0880
- Fax
- (855) 628-4958
- NPI assigned
- Apr 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 11554 | CA | |
| Acupuncturist | 171100000X | 377 | TN | Primary |
Addresses
Primary practice location
116 Locust Ave Ste F
Cookeville, TN 38501-3515
Mailing address
116 Locust Ave Ste F
Cookeville, TN 38501-3515
Phone (931) 400-0880
Other names 1
- Dr. Ky Yu
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 |
|---|---|---|---|
| 11554 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1245404607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 LOCUST AVE STE F",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385013515",
"telephone_number": "931-400-0880",
"fax_number": "855-628-4958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 LOCUST AVE STE F",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385013515",
"telephone_number": "931-400-0880",
"fax_number": "855-628-4958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "KIL-YOUNG",
"name_prefix": "Dr.",
"credential": "DACM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-16",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11554",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TN",
"license": "377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KY",
"last_name": "YU",
"prefix": "DR.",
"credential": "L.AC.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.