Individual provider Active NPI

Carey A.E. Ryan, R. AC.

  • Acupuncturist
  • Ann Arbor, MI
National Provider Identifier
1467894519
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5401000044 Issued in MI
Practice address
210 Little Lake Dr
Suite 7
Ann Arbor, MI 48103-6218
Phone
(734) 846-4510
Fax
(734) 761-5928
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5401000044 MI Primary

Addresses

Primary practice location

210 Little Lake Dr
Suite 7
Ann Arbor, MI 48103-6218

Mailing address

210 Little Lake Dr
Suite 7
Ann Arbor, MI 48103-6218
Phone (734) 846-4510

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

LicenseStateTypeSpecialty
5401000044MIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lu'S Nourishing Life, LLC Acupuncturist Current Accepting new patients
Sacred Healing Therapeutic Services LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1467894519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LITTLE LAKE DR",
            "address_2": "SUITE 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036218",
            "telephone_number": "734-846-4510",
            "fax_number": "734-761-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LITTLE LAKE DR",
            "address_2": "SUITE 7",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036218",
            "telephone_number": "734-846-4510",
            "fax_number": "734-761-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CAREY",
        "middle_name": "A.E.",
        "name_prefix": "Ms.",
        "credential": "R. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5401000044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.