Individual provider Active NPI

Deidre Anne O'Malley, BSN RN LAC.

  • Acupuncturist
  • Middletown, CA
National Provider Identifier
1285952929
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12238 Issued in CA
Practice address
21128 Calistoga St.
Suite a
Middletown, CA 95461
Phone
(707) 987-3442
NPI assigned
May 5, 2010
Sex
Female
Sole proprietor
Yes

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AC12238CAMDAcupuncturist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC12238 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

21128 Calistoga St.
Suite a
Middletown, CA 95461

Mailing address

PO Box 687
Middletown, CA 95461-0687
Phone (707) 987-3442

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2010.

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1285952929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 687",
            "city": "MIDDLETOWN",
            "state": "CA",
            "postal_code": "954610687",
            "telephone_number": "707-987-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21128 CALISTOGA ST.",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "CA",
            "postal_code": "95461",
            "telephone_number": "707-987-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "DEIDRE",
        "middle_name": "ANNE",
        "credential": "BSN RN LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.