Active NPI
Amber Mabe Kent, L. AC.
- Acupuncturist
- Greensboro, NC
National Provider Identifier
1265946024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- LAC-953
- Practice address
- 4204 King Edward CT
Greensboro, NC 27455-2569 - Phone
- (336) 215-8966
- NPI assigned
- Nov 30, 2017
- Last updated
- Nov 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | LAC-953 | NC | Primary |
Addresses
Primary practice location
4204 King Edward CT
Greensboro, NC 27455-2569
Mailing address
4204 King Edward CT
Greensboro, NC 27455-2569
Phone (336) 215-8966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAC-953 | Other | NC | NCALB |
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 |
|---|---|---|---|
| LAC-953 | NC | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1265946024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 KING EDWARD CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552569",
"telephone_number": "336-215-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4204 KING EDWARD CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552569",
"telephone_number": "336-215-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "AMBER",
"middle_name": "MABE",
"name_prefix": "Mrs.",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-30",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "LAC-953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCALB",
"identifier": "LAC-953",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.