Medelise Summa Reifsteck, LIC. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

DACM00108 Issued in RI

Practice address

1130 Ten Rod Rd Ste B204
North Kingstown, RI 02852-4165

Phone

(401) 294-1644

NPI assigned

Nov 12, 2024

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1346064763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE B204",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524165",
            "telephone_number": "401-294-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE B204",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524165",
            "telephone_number": "401-294-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFSTECK",
        "first_name": "MEDELISE",
        "middle_name": "SUMMA",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DACM00108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Acupuncturist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.