Organization Active NPI

Southtowns Acupuncture PLLC

  • Acupuncturist
  • Hamburg, NY
National Provider Identifier
1346926441
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SOUTHTOWNS ACUPUNCTURE PLLC
Practice address
4390 Quinby Drive
Suite F
Hamburg, NY 14075-7900
Phone
(530) 412-1213
NPI assigned
Jun 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Ms. Tracy Lynn Rudnicki, L.AC., MSNPI 1194861187
Title
Acupuncturist/Company Owner
Phone
(530) 412-1213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4390 Quinby Drive
Suite F
Hamburg, NY 14075-7900

Mailing address

5441 Old Lake Shore Rd
Lake View, NY 14085-9751
Phone (530) 412-1213

Other names 1

  • Southtowns Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

4390 Quinby Dr
Ste F
Hamburg, NY 14075
Phone (530) 412-1213

3065 Southwestern Blvd
Ste 200
Orchard Park, NY 14127
Phone (716) 667-2601

Practitioners & affiliated clinicians

Practitioners 1

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": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1346926441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 OLD LAKE SHORE RD",
            "city": "LAKE VIEW",
            "state": "NY",
            "postal_code": "140859751",
            "telephone_number": "530-412-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 QUINBY DRIVE",
            "address_2": "SUITE F",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140757900",
            "telephone_number": "530-412-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWNS ACUPUNCTURE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "RUDNICKI",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ACUPUNCTURIST/COMPANY OWNER",
        "authorized_official_telephone_number": "530-412-1213",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC., MS"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southtowns Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.