Michelle Derby, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

547 Issued in AZ

Practice address

42101 N 41St Dr Ste C-152
Anthem, AZ 85086-3816

Phone

(602) 478-4004

Fax

(602) 483-1662

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

Yes

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1356770028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42101 N 41ST DR STE C-152",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863816",
            "telephone_number": "602-478-4004",
            "fax_number": "602-374-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42101 N 41ST DR STE C-152",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863816",
            "telephone_number": "602-478-4004",
            "fax_number": "602-483-1662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 N 16th St Ste C162",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163935",
            "country_code": "US",
            "telephone_number": "602-478-4004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34406 N 27th Dr Ste 175",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850857735",
            "country_code": "US",
            "telephone_number": "602-478-4004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 N Beeline Hwy",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855413796",
            "country_code": "US",
            "telephone_number": "602-478-4004",
            "fax_number": "602-483-1662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "706 E Bell Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850226641",
            "country_code": "US",
            "telephone_number": "602-478-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERBY",
        "first_name": "MICHELLE",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2021-07-02",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Anthem, AZ
• Providers in Anthem, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.