Individual provider Active NPI

Robert Abrahamson, LIC.AC.

  • Acupuncturist
  • Sedona, AZ
National Provider Identifier
1386835825
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AZ0170 Issued in AZ
Practice address
1785 W Hwy 89a Ste 3D
Sedona, AZ 86336-5577
Phone
(928) 204-0595
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AZ0170 AZ Primary

Addresses

Primary practice location

1785 W Hwy 89a Ste 3D
Sedona, AZ 86336-5577

Mailing address

1785 W Hwy 89a Ste 3D
Sedona, AZ 86336-5577
Phone (928) 204-0595

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
AZ0170AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1386835825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 W HWY 89A STE 3D",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365577",
            "telephone_number": "928-204-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W HWY 89A STE 3D",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365577",
            "telephone_number": "928-204-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LIC.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "AZ0170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.