Individual provider Active NPI

Requel Y Lopes, LAC

  • Acupuncturist
  • Cary, NC
National Provider Identifier
1265872543
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2119 Issued in NC
Practice address
1616 Evans Rd Ste 205
Cary, NC 27513-9653
Phone
(954) 951-5982
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01424 TX
Acupuncturist 171100000X 3381 FL
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 2119 NC Primary

Addresses

Primary practice location

1616 Evans Rd Ste 205
Cary, NC 27513-9653

Mailing address

1616 Evans Rd Ste 205
Cary, NC 27513-9653
Phone (919) 263-4331

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
2119NCMDMental Health Counselor
3381FLMDAcupuncturist
AC01424TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dragonfly Wellness LLC Acupuncturist Current Accepting new patients
Trinity Acupuncture, Inc. Acupuncturist Past Accepting new patients

Locations

1616 Evans Rd
Ste 205
Cary, NC 27513
Phone (919) 263-4331

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1265872543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 EVANS RD STE 205",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139653",
            "telephone_number": "919-263-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 EVANS RD STE 205",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275139653",
            "telephone_number": "954-951-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPES",
        "first_name": "REQUEL",
        "middle_name": "Y",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01424",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3381",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.