Individual provider Active NPI

Autum Kirgan, L.AC

  • Acupuncturist
  • Shelby, NC
National Provider Identifier
1477918837
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
836 Issued in NC
Practice address
222 N Lafayette St Ste 24
Shelby, NC 28150-4450
Phone
(980) 404-9477
Fax
(704) 495-6681
NPI assigned
Dec 29, 2015
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU
Acupuncturist 171100000X 836 NC Primary

Addresses

Primary practice location

222 N Lafayette St Ste 24
Shelby, NC 28150-4450

Mailing address

20 Miller St
Asheville, NC 28801-4264
Phone (828) 785-2670

Other practice location 1

20 Miller St
Asheville, NC 28801-4264
Phone (828) 785-2670

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
836NCMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
All Seasons Acupuncture & Wellness, LLC Acupuncturist CurrentSince Sep 25, 2019 Accepting new patients
Asheville Acupuncture & Integrative Medicine, LLC Acupuncturist CurrentSince Apr 17, 2022 Accepting new patients

Locations

261 Asheland Ave
Ste 102
Asheville, NC 28801
Phone (828) 575-5904

115 E Sumter St
Shelby, NC 28150
Phone (704) 692-7924

222 N Lafayette St
Ste 24
Shelby, NC 28150
Phone (704) 473-8528

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1477918837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MILLER ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014264",
            "telephone_number": "828-785-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N LAFAYETTE ST STE 24",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504450",
            "telephone_number": "980-404-9477",
            "fax_number": "704-495-6681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Miller St",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014264",
            "country_code": "US",
            "telephone_number": "828-785-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRGAN",
        "first_name": "AUTUM",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.