Kathleen Ellerie, L.AC., DIPL. O.M.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01537 Issued in TX

Practice address

14330 Midway Rd
Suite 205
Farmers Branch, TX 75244-3522

Phone

(214) 417-2260

NPI assigned

Mar 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1437576667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 MIDWAY RD",
            "address_2": "SUITE 205",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443522",
            "telephone_number": "214-417-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 MIDWAY RD",
            "address_2": "SUITE 205",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443522",
            "telephone_number": "214-417-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERIE",
        "first_name": "KATHLEEN",
        "credential": "L.AC., DIPL. O.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3372",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Farmers Branch, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.