Michele Katherine De' Medici, RN;BSN;M,AC.;LIC.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

208 Issued in CO

Practice address

5301 Hallmarc Dr
Farmington, NM 87402-5107

Phone

(505) 326-2357

NPI assigned

Oct 18, 2010

Last updated

Oct 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Michele Medici Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• De'Medici Classical Acupuncture

  • Acupuncturist
  • Durango, CO
  • NPI 1265025613
  NPD Authorized official

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1376853812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 HALLMARC DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025107",
            "telephone_number": "505-326-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 HALLMARC DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025107",
            "telephone_number": "505-326-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE' MEDICI",
        "first_name": "MICHELE",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "RN;BSN;M,AC.;LIC.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R36711",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "MEDICI",
            "prefix": "MS.",
            "credential": "RN;BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janice A Davis
• Paul Francis Davis, M.D.
• DDS Catalyst Country Club LLC
• DDS Catalyst Farmington, LLC
• Atenas De Taboada Da Silva, DMD
• Carlene R. Deal-Smith
• Regina Deale
• Victoria Dearly
• Spencer Terence Debauche
• Peter John Debuck, DMD

• Acupuncturist in Farmington, NM
• Providers in Farmington, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.