Individual provider Active NPI

Julie C. Moose, L.AC., DIPL.AC.

  • Acupuncturist
  • Hickory, NC
National Provider Identifier
1366108490
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2094 Issued in NC
Practice address
419 2ND St NW Ste C
Hickory, NC 28601-4966
Phone
(828) 855-3311
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2094 NC Primary

Addresses

Primary practice location

419 2ND St NW Ste C
Hickory, NC 28601-4966

Mailing address

419 2ND St NW Ste C
Hickory, NC 28601-4966
Phone (828) 855-3311

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Hickory Health Information Exchange (HIE)
CONNECT URL www.foothillsacu.com Direct

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
2094NCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1366108490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 2ND ST NW STE C",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014966",
            "telephone_number": "828-855-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 2ND ST NW STE C",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014966",
            "telephone_number": "828-855-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSE",
        "first_name": "JULIE",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "L.AC., DIPL.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "2094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hickory",
            "affiliation": "N",
            "endpointDescription": "shared medical information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hickory",
            "address_1": "419 2nd St NW Ste C",
            "city": "Hickory",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286014966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.foothillsacu.com",
            "affiliation": "N",
            "endpointDescription": "web address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Hickory",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "foothillsacuwellness.gmail.com",
            "address_1": "419 2nd St NW Ste C",
            "city": "Hickory",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286014966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.