Individual provider Active NPI

Yekaterina Yakhimovich, LAC.,MAC.

  • Acupuncturist
  • Rockville, MD
National Provider Identifier
1275787517
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01624 Issued in MD
Practice address
13611 Pine View LN
Rockville, MD 20850-3585
Phone
(301) 442-5260
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01624 MD Primary

Addresses

Primary practice location

13611 Pine View LN
Rockville, MD 20850-3585

Mailing address

13611 Pine View LN
Rockville, MD 20850-3585
Phone (301) 442-5260

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
U01624MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1275787517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 PINE VIEW LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503585",
            "telephone_number": "301-442-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 PINE VIEW LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503585",
            "telephone_number": "301-442-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKHIMOVICH",
        "first_name": "YEKATERINA",
        "credential": "LAC.,MAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.