Active NPI
Taryn Jodi Altendorfer, L.AC
- Acupuncturist
- Austin, TX
National Provider Identifier
1477053981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01559
- Practice address
- 3004 S 1St St
Austin, TX 78704-6388 - Phone
- (512) 968-7773
- NPI assigned
- Feb 20, 2018
- 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 | AC01559 | TX | Primary |
Addresses
Primary practice location
3004 S 1St St
Austin, TX 78704-6388
Mailing address
3014 W William Cannon Dr Apt 1122
Austin, TX 78745-5151
Phone (512) 968-7773
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC01559 | TX | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1477053981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3014 W WILLIAM CANNON DR APT 1122",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455151",
"telephone_number": "512-968-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 S 1ST ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787046388",
"telephone_number": "512-968-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTENDORFER",
"first_name": "TARYN",
"middle_name": "JODI",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC01559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.