NPIMap

Organization Active NPI

Keystone Family Acupuncture, Inc.

  • Acupuncturist
  • Providence, RI
National Provider Identifier
1346624137
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
DA00372 Issued in RI
Legal business name
KEYSTONE FAMILY ACUPUNCTURE, INC.
Practice address
120 Dudley Street
Suite103
Providence, RI 02905-2431
Phone
(401) 272-8262
Fax
(401) 421-2016
NPI assigned
Jul 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Stephanie Carolle Fischer, D.A., LIC.AC.
Title
Owner
Phone
(401) 272-8262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X DA00372 RI Primary

Addresses

Primary practice location

120 Dudley Street
Suite103
Providence, RI 02905-2431

Mailing address

120 Dudley Street
Suite103
Providence, RI 02905-2431
Phone (401) 272-8262

National Provider Directory

National Provider Directory

Locations

120 Dudley St
Ste 103
Providence, RI 02905
Phone (401) 272-8262

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1346624137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DUDLEY STREET",
            "address_2": "SUITE103",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052431",
            "telephone_number": "401-272-8262",
            "fax_number": "401-421-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DUDLEY STREET",
            "address_2": "SUITE103",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052431",
            "telephone_number": "401-272-8262",
            "fax_number": "401-421-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE FAMILY ACUPUNCTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-12",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "CAROLLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-272-8262",
        "authorized_official_credential": "D.A., LIC.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "RI",
            "license": "DA00372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.