Individual provider Active NPI

Genevieve R Vaillancourt, L.AC

  • Acupuncturist
  • Biddeford, ME
National Provider Identifier
1245634286
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC507 Issued in ME
Practice address
443 Main St
Biddeford, ME 04005-2124
Phone
(207) 558-1131
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC507 ME Primary

Addresses

Primary practice location

443 Main St
Biddeford, ME 04005-2124

Mailing address

443 Main St
Biddeford, ME 04005-2124
Phone (207) 558-1131

Other identifiers 1

IdentifierTypeStateIssuer
1598482226OtherNPI

Other names 1

  • Genevieve R Valenti Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@sacoriveracu.com

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
AC507MEMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Saco River Acupuncture PLLC Acupuncturist Current Accepting new patients

Locations

443 Main St
Biddeford, ME 04005
Phone (207) 282-7113

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1245634286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 MAIN ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052124",
            "telephone_number": "207-558-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 MAIN ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052124",
            "telephone_number": "207-558-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAILLANCOURT",
        "first_name": "GENEVIEVE",
        "middle_name": "R",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598482226",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@sacoriveracu.com",
            "affiliation": "N",
            "address_1": "443 Main St",
            "city": "Biddeford",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040052124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "VALENTI",
            "middle_name": "R",
            "credential": "L.AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.