Organization Active NPI

Stacy Jane Kluck, L.Ac PLLC

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1407486681
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
STACY JANE KLUCK, L.AC PLLC
Practice address
3810 Medical Pkwy Ste 231
Austin, TX 78756-4014
Phone
(512) 383-6359
NPI assigned
Jan 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Stacy Jane Kluck, L.AC, LMT, CHTPNPI 1982945325
Title
Owner/Acupuncturist
Phone
(512) 383-6359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

3810 Medical Pkwy Ste 231
Austin, TX 78756-4014

Mailing address

3810 Medical Pkwy Ste 231
Austin, TX 78756-4014
Phone (512) 383-6359

Other identifiers 1

IdentifierTypeStateIssuer
1982945325OtherINDIVIDUAL PRACTITIONER NPI STACY JANE KLUCK

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.stacykluck.com Direct

National Provider Directory

National Provider Directory

Locations

3810 Medical Pkwy
Ste 231
Austin, TX 78756
Phone (512) 383-6359

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1407486681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 MEDICAL PKWY STE 231",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564014",
            "telephone_number": "512-383-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 MEDICAL PKWY STE 231",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564014",
            "telephone_number": "512-383-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY JANE KLUCK, L.AC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "KLUCK",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "512-383-6359",
        "authorized_official_credential": "L.AC, LMT, CHTP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PRACTITIONER NPI STACY JANE KLUCK",
            "identifier": "1982945325",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.stacykluck.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3810 Medical Pkwy Ste 231",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787564014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.