Individual provider Active NPI

Bethany A Lauretano, LIC. AC.

  • Acupuncturist
  • Swampscott, MA
National Provider Identifier
1245474634
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
233824 Issued in MA
Practice address
11 Orchard Cir
Swampscott, MA 01907-2304
Phone
(781) 595-2385
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 233824 MA Primary

Addresses

Primary practice location

11 Orchard Cir
Swampscott, MA 01907-2304

Mailing address

11 Orchard Cir
Swampscott, MA 01907-2304
Phone (781) 595-2385

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

LicenseStateTypeSpecialty
233824MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1245474634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ORCHARD CIR",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072304",
            "telephone_number": "781-595-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ORCHARD CIR",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072304",
            "telephone_number": "781-595-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURETANO",
        "first_name": "BETHANY",
        "middle_name": "A",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "233824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.