Active NPI
Susan Lederfeind, L.AC, MSPT
- Acupuncturist
- Trumbull, CT
National Provider Identifier
1326505181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0000301
- Practice address
- 6527 Main St
Trumbull, CT 06611-1385 - Phone
- (203) 243-1805
- NPI assigned
- Feb 27, 2019
- Last updated
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0000301 | CT | Primary |
| Physical Therapist | 225100000X | 007097 | CT |
Addresses
Primary practice location
6527 Main St
Trumbull, CT 06611-1385
Mailing address
20 Deepwood Cir
Monroe, CT 06468-2632
Phone (203) 243-1805
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000301 | CT | MD | Acupuncturist |
| 007097 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Healing Arts LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Trumbull, CT
- NPI 1295394518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1326505181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 DEEPWOOD CIR",
"city": "MONROE",
"state": "CT",
"postal_code": "064682632",
"telephone_number": "203-243-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6527 MAIN ST",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111385",
"telephone_number": "203-243-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDERFEIND",
"first_name": "SUSAN",
"credential": "L.AC, MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "0000301",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007097",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.