Individual provider Active NPI

Taisha Gonzalez, LAC

  • Acupuncturist
  • White Plains, NY
National Provider Identifier
1306404967
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006118-1 Issued in NY
Practice address
277 Martine Ave Ste 207
White Plains, NY 10601-3401
Phone
(914) 222-5644
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006118-1 NY Primary

Addresses

Primary practice location

277 Martine Ave Ste 207
White Plains, NY 10601-3401

Mailing address

277 Martine Ave Ste 207
White Plains, NY 10601-3401
Phone (914) 222-5644

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
006118-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Acupuncture Studio PLLC Acupuncturist CurrentSince Jan 12, 2020 Accepting new patients

Locations

277 Martine Ave
Ste 207
White Plains, NY 10601
Phone (914) 222-5644

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1306404967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 MARTINE AVE STE 207",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013401",
            "telephone_number": "914-222-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MARTINE AVE STE 207",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106013401",
            "telephone_number": "914-222-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "TAISHA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006118-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.