Individual provider Active NPI

Lea Anne Inoue, LEA INOUE

  • Acupuncturist
  • Mesa, AZ
National Provider Identifier
1376873604
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0363 Issued in AZ
Practice address
953 W Enid Circle
Mesa, AZ 85210
Phone
(480) 612-5007
NPI assigned
Jan 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0363 AZ Primary

Addresses

Primary practice location

953 W Enid Circle
Mesa, AZ 85210

Mailing address

953 W Enid Cir
Mesa, AZ 85210-3459
Phone (480) 612-5007

Other names 1

  • Lea Anne Inoue Former name

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
0363AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1376873604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 W ENID CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103459",
            "telephone_number": "480-612-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 W ENID CIRCLE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-612-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOUE",
        "first_name": "LEA",
        "middle_name": "ANNE",
        "credential": "LEA INOUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "INOUE",
            "middle_name": "ANNE",
            "credential": "L.AC, DIPL CH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.