Individual provider Active NPI

Kerry Weinstein, MA, LIC. ACUP.

  • Acupuncturist
  • Sudbury, MA
National Provider Identifier
1316024433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
058 Issued in MA
Practice address
75 Union Ave Ste 101
Sudbury, MA 01776-2255
Phone
(978) 443-6789
Fax
(978) 440-8339
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 058 MA Primary

Addresses

Primary practice location

75 Union Ave Ste 101
Sudbury, MA 01776-2255

Mailing address

42 Village Rd
Sudbury, MA 01776-1371
Phone (978) 443-6789

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
058MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Family Practice Acupuncturist Past Accepting new patients

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316024433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 VILLAGE RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761371",
            "telephone_number": "978-443-6789",
            "fax_number": "978-440-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 UNION AVE STE 101",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762255",
            "telephone_number": "978-443-6789",
            "fax_number": "978-440-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "KERRY",
        "name_prefix": "Mr.",
        "credential": "MA, LIC. ACUP.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.