Individual provider Active NPI

Ashley B Korenkiewicz, MS, RN, L. AC.

  • Acupuncturist
  • Poland, ME
National Provider Identifier
1346088895
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC814 Issued in ME
Practice address
75 Woodland Shore Dr
Poland, ME 04274-6113
Phone
(207) 838-0469
NPI assigned
Jul 18, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC814 ME Primary

Addresses

Primary practice location

75 Woodland Shore Dr
Poland, ME 04274-6113

Mailing address

75 Woodland Shore Dr
Poland, ME 04274-6113
Phone (207) 838-0469

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
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AC814MEMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Tending Roots Acupuncture LLC Acupuncturist CurrentSince Dec 8, 2024 Accepting new patients

Locations

67 Shaker Rd
Ste 8A
Gray, ME 04039
Phone (207) 838-0469

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.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1346088895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WOODLAND SHORE DR",
            "city": "POLAND",
            "state": "ME",
            "postal_code": "042746113",
            "telephone_number": "207-838-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WOODLAND SHORE DR",
            "city": "POLAND",
            "state": "ME",
            "postal_code": "042746113",
            "telephone_number": "207-838-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENKIEWICZ",
        "first_name": "ASHLEY",
        "middle_name": "B",
        "credential": "MS, RN, L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.