Active NPI
Heidi Cameron, L.AC
- Acupuncturist
- Fort Campbell, KY
National Provider Identifier
1336595305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC109
- Practice address
- 2889B Idaho Avenue
Fort Campbell, KY 42223 - Phone
- (512) 534-5404
- NPI assigned
- May 10, 2016
- 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 | AC109 | KY | Primary |
| Acupuncturist | 171100000X | ACU0000000281 | TN |
Addresses
Primary practice location
2889B Idaho Avenue
Fort Campbell, KY 42223
Mailing address
15005 Fort Campbell Blvd.
Oak Grove, KY 42262
Phone (512) 534-5404
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 |
|---|---|---|---|
| AC109 | KY | MD | Acupuncturist |
| ACU0000000281 | TN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1336595305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15005 FORT CAMPBELL BLVD.",
"city": "OAK GROVE",
"state": "KY",
"postal_code": "42262",
"telephone_number": "512-534-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2889B IDAHO AVENUE",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "512-534-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "HEIDI",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "KY",
"license": "AC109",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TN",
"license": "ACU0000000281",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.