Active NPI
Heena Elizabeth Choi, L.AC.
- Acupuncturist
- Wakefield, RI
National Provider Identifier
1376707646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- DAOM00076
- Practice address
- 47 Inkberry Dr
Wakefield, RI 02879-7662 - Phone
- (240) 893-6788
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC11795 | CA | |
| Acupuncturist | 171100000X | DAOM00076 | RI | Primary |
| Acupuncturist | 171100000X | 012000592 | VA |
Addresses
Primary practice location
47 Inkberry Dr
Wakefield, RI 02879-7662
Mailing address
47 Inkberry Dr
Wakefield, RI 02879-7662
Phone (240) 893-6788
Other practice location 1
8200 Tyson Rd
Ellicott City, MD 21043-3432
Phone (410) 461-3533
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC11795 | CA | MD | Acupuncturist |
| DAOM00076 | RI | MD | Acupuncturist |
| 012000592 | VA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodhi-Tree Acupuncture | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Wakefield, RI
- NPI 1578209243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1376707646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 INKBERRY DR",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028797662",
"telephone_number": "240-893-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 INKBERRY DR",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028797662",
"telephone_number": "240-893-6788"
}
],
"practiceLocations": [
{
"address_1": "8200 Tyson Rd",
"address_purpose": "LOCATION",
"city": "Ellicott City",
"state": "MD",
"postal_code": "210433432",
"country_code": "US",
"telephone_number": "410-461-3533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOI",
"first_name": "HEENA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11795",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "RI",
"license": "DAOM00076",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "012000592",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.