Kimberly Anne Stephenson, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

17195 Issued in CA

Practice address

2302 6TH Ave FL 1
San Diego, CA 92101-1643

Phone

(619) 633-9818

NPI assigned

Jun 29, 2016

Last updated

Nov 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nuimage Aesthetics MD

  • Integrative Medicine Physician
  • San Diego, CA
  • NPI 1396349957
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1316398548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 COWLEY WAY APT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176380",
            "telephone_number": "619-633-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 6TH AVE FL 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011643",
            "telephone_number": "619-633-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Vincent Stephens, BS
• Robert F Stephens, MD
• Sean Evan Stephens, DDS
• Cara-Lee Stephenson, CPNP
• Harmony Yvonne Stephenson
• Oscar Stephenson, SUDRC 11741
• Tracy P Stephenson, RN
• Walt Stepien, MSSW
• Carl Stepnowsky
• Shonna Steppe, NDC

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.