Bluestem Acupuncture Clinic of Kansas LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

23-00016 Issued in KS

Legal business name

BLUESTEM ACUPUNCTURE CLINIC OF KANSAS LLC

Practice address

505 S Broadway Ave Ste 100
Wichita, KS 67202-3922

Phone

(316) 285-8058

NPI assigned

Aug 21, 2018

Last updated

Jan 31, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberley Vester-Couch, L.AC.NPI 1033484274

Title

Manager

Phone

(316) 285-8058

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberley Dawn Vester-Couch, LAC, DIPL OM, DOM

  • Acupuncturist
  • Wichita, KS
  • NPI 1033484274
  NPD (past) Authorized official

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1396225116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S BROADWAY AVE STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023922",
            "telephone_number": "316-285-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S BROADWAY AVE STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023922",
            "telephone_number": "316-285-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTEM ACUPUNCTURE CLINIC OF KANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "VESTER-COUCH",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "316-285-8058",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "KS",
            "license": "23-00016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.