Individual provider Active NPI

Kim Calandra, L.AC.

  • Acupuncturist
  • Carrboro, NC
National Provider Identifier
1356772974
Registry record updated Dec 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
516 Issued in NC
Practice address
204 W Main St
Carrboro, NC 27510-2028
Phone
(919) 971-3934
NPI assigned
Dec 7, 2013
Last updated
Dec 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 516 NC Primary

Addresses

Primary practice location

204 W Main St
Carrboro, NC 27510-2028

Mailing address

102 Crest St Apt a
Carrboro, NC 27510-1467
Phone (919) 971-3934

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

State licenses

LicenseStateTypeSpecialty
516NCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1386374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386374400000",
    "number": "1356772974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CREST ST APT A",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101467",
            "telephone_number": "919-971-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W MAIN ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102028",
            "telephone_number": "919-971-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALANDRA",
        "first_name": "KIM",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-07",
        "last_updated": "2013-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2013; 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.