Individual provider Active NPI

Emily Liburdi, DIPL. OM R.AC

  • Acupuncturist
  • Utica, MI
National Provider Identifier
1336512268
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5401000017 Issued in MI
Practice address
45163 Cass Ave
Utica, MI 48317-5508
Phone
(586) 221-0650
NPI assigned
Oct 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5401000017 MI Primary

Addresses

Primary practice location

45163 Cass Ave
Utica, MI 48317-5508

Mailing address

8989 18 Mile Rd
Sterling HTS, MI 48313-3206
Phone (586) 489-8867

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
5401000017MIMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1336512268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 18 MILE RD",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483133206",
            "telephone_number": "586-489-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45163 CASS AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175508",
            "telephone_number": "586-221-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBURDI",
        "first_name": "EMILY",
        "credential": "DIPL. OM R.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5401000017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.