Roseshel Anne Garriott, DACM, L.AC. – Acupuncturist

Key facts

NPI: 1407324320
Entity type: Individual (NPI type 1)
Primary specialty: Acupuncturist 171100000X
License: ACU-344 (ID)
Practice address: 1830 N Lakes PL
Meridian, ID 83646-1921
Phone: (208) 614-1640
NPI assigned: Nov 8, 2018
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
ACU-344	ID	MD	Acupuncturist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Acupuncturist	171100000X	ACU-344	ID	Yes

Addresses

Primary practice location

1830 N Lakes PL
Meridian, ID 83646-1921

Mailing address

1830 N Lakes PL
Meridian, ID 83646-1921
Phone (208) 614-1640

Other names

Dr. Roseshel Anne Garriott Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2018.

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1407324320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 N LAKES PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461921",
            "telephone_number": "208-614-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 N LAKES PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461921",
            "telephone_number": "208-614-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIOTT",
        "first_name": "ROSESHEL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DACM, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSESHEL",
            "last_name": "GARRIOTT",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "DACM, L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Meridian, ID

All providers in Meridian, ID · Acupuncturist in Idaho

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.