Individual provider Active NPI

Alexandra Mitchell, L.AC.

  • Acupuncturist
  • Southbury, CT
National Provider Identifier
1275905085
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
651 Issued in CT
Practice address
3 Pomperaug Office Park Ste 104
Southbury, CT 06488-2287
Phone
(203) 586-1838
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 651 CT Primary

Addresses

Primary practice location

3 Pomperaug Office Park Ste 104
Southbury, CT 06488-2287

Mailing address

110 Meadowbrook Rd
Southbury, CT 06488-1160
Phone (203) 264-7408

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
651CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Lins Acupuncture Center, LLC Acupuncturist CurrentSince Dec 22, 2020 Accepting new patients

Locations

3 Pomperaug Office Park
Ste 103
Southbury, CT 06488
Phone (203) 263-0411

3 Pomperaug Office Park
Ste 104
Southbury, CT 06488
Phone (203) 586-1838

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": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1275905085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MEADOWBROOK RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881160",
            "telephone_number": "203-264-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 POMPERAUG OFFICE PARK STE 104",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882287",
            "telephone_number": "203-586-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALEXANDRA",
        "name_prefix": "Miss",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.