Individual provider Active NPI

Nicole Ingrid Mires, L.AC.

  • Acupuncturist
  • Washington, DC
National Provider Identifier
1316266752
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC500091 Issued in DC
Practice address
1410 9TH St NW
#1
Washington, DC 20001-3360
Phone
(202) 408-4858
NPI assigned
May 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC500091 DC Primary
Acupuncturist 171100000X VA0121000483 VA

Addresses

Primary practice location

1410 9TH St NW
#1
Washington, DC 20001-3360

Mailing address

1410 9TH St NW
#1
Washington, DC 20001-3360
Phone (202) 408-4858

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
AC500091DCMDAcupuncturist
VA0121000483VAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pekoe Acupuncture and Wellness Center, PLLC 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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1316266752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 9TH ST NW",
            "address_2": "#1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013360",
            "telephone_number": "202-408-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 9TH ST NW",
            "address_2": "#1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013360",
            "telephone_number": "202-408-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRES",
        "first_name": "NICOLE",
        "middle_name": "INGRID",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "DC",
            "license": "AC500091",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "VA0121000483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.