Active NPI
Cynthia Poppe
- Acupuncturist
- Goodyear, AZ
National Provider Identifier
1457710337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1019
- Practice address
- 17506 W Van Buren St
#93
Goodyear, AZ 85338-4209 - Phone
- (402) 658-0733
- NPI assigned
- Feb 19, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 1019 | AZ | Primary |
Addresses
Primary practice location
17506 W Van Buren St
#93
Goodyear, AZ 85338-4209
Mailing address
17506 W. Van Buren St
#93
Goodyear, AZ 85338
Phone (402) 658-0733
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1019 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Poppy Healing | Acupuncturist | Current | Accepting new patients |
| Pathways Acupuncture, PLLC | Acupuncturist | Past | Accepting new patients |
Locations
13830 W Camino del Sol
Ste 160
Sun City West, AZ 85375
Phone (923) 972-3116
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Sun City West, AZ
- NPI 1922785146
-
- Acupuncturist
- Surprise, AZ
- NPI 1467919167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1457710337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17506 W. VAN BUREN ST",
"address_2": "#93",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "85338",
"telephone_number": "402-658-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17506 W VAN BUREN ST",
"address_2": "#93",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384209",
"telephone_number": "402-658-0733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPE",
"first_name": "CYNTHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-19",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "1019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.