Active NPI
Amy Gordon
- Acupuncturist
- Flagstaff, AZ
National Provider Identifier
1245748748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1118
- Practice address
- 1926 N 3Rd St Ste 100
Flagstaff, AZ 86004-4332 - Phone
- (928) 856-0656
- NPI assigned
- Jan 18, 2018
- 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 | 1118 | AZ | Primary |
Addresses
Primary practice location
1926 N 3Rd St Ste 100
Flagstaff, AZ 86004-4332
Mailing address
1080 5TH Ave Apt 14
New York, NY 10128-0102
Phone (505) 603-7790
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 |
|---|---|---|---|
| 1118 | AZ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonizing Healthcare, PLLC | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Flagstaff, AZ
- NPI 1699273466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1245748748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 5TH AVE APT 14",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101280102",
"telephone_number": "505-603-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1926 N 3RD ST STE 100",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860044332",
"telephone_number": "928-856-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "1118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.