Organization Active NPI

Birds Nest Acupuncture

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1336530187
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01379 Issued in TX
Legal business name
BIRDS NEST ACUPUNCTURE
Practice address
4101 Medical Pkwy
Suite 113
Austin, TX 78756-3734
Phone
(512) 761-6719
NPI assigned
Feb 16, 2015
Last updated
Feb 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Mrs. Leah Shadwick, L.AC.NPI 1790026508
Title
Acupuncturist
Phone
(512) 761-6719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01379 TX Primary

Addresses

Primary practice location

4101 Medical Pkwy
Suite 113
Austin, TX 78756-3734

Mailing address

4101 Medical Pkwy
Suite 113
Austin, TX 78756-3734
Phone (512) 761-6719

National Provider Directory

National Provider Directory

Locations

4101 Medical Pkwy
Ste 113
Austin, TX 78756
Phone (512) 761-6719

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1336530187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MEDICAL PKWY",
            "address_2": "SUITE 113",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563734",
            "telephone_number": "512-761-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MEDICAL PKWY",
            "address_2": "SUITE 113",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563734",
            "telephone_number": "512-761-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDS NEST ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "SHADWICK",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "512-761-6719",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.