Active NPI
Angela M Tymrak, LICAC, RN
- Acupuncturist
- Falmouth, MA
National Provider Identifier
1447540018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 230967
- Practice address
- 314 Gifford St Unit 4
Falmouth, MA 02540-2945 - Phone
- (774) 521-8213
- NPI assigned
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 230967 | MA | Primary |
Addresses
Primary practice location
314 Gifford St Unit 4
Falmouth, MA 02540-2945
Mailing address
PO Box 841
W Falmouth, MA 02574-0841
Phone (774) 521-8213
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230967 | MA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1447540018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841",
"city": "W FALMOUTH",
"state": "MA",
"postal_code": "025740841",
"telephone_number": "774-521-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 GIFFORD ST UNIT 4",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402945",
"telephone_number": "774-521-8213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYMRAK",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "LICAC, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "230967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.