Individual provider Active NPI

Stephanie Holmes, L.AC

  • Acupuncturist
  • West Hollywood, CA
National Provider Identifier
1306420591
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19106 Issued in CA
Practice address
8500 Melrose Ave Ste 210
West Hollywood, CA 90069-5169
Phone
(310) 927-3097
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19106 CA Primary

Addresses

Primary practice location

8500 Melrose Ave Ste 210
West Hollywood, CA 90069-5169

Mailing address

575 S Barrington Ave Apt 204
Los Angeles, CA 90049-4339
Phone (619) 992-0973

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
19106CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vie Healing Acupuncturist CurrentSince Jul 4, 2021 Accepting new patients

Locations

8500 Melrose Ave
Ste 210
West Hollywood, CA 90069
Phone (310) 927-3097

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1306420591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S BARRINGTON AVE APT 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494339",
            "telephone_number": "619-992-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 MELROSE AVE STE 210",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695169",
            "telephone_number": "310-927-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.