Active NPI
Christina Erin Wallace, L.AC.
- Acupuncturist
- Tarrytown, NY
National Provider Identifier
1487097937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 006008
- Practice address
- 200 S. Broadway
South Building, Suite #2-3
Tarrytown, NY 10591-4500 - Phone
- (914) 246-0148
- NPI assigned
- Apr 15, 2013
- 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 | 006008 | NY | Primary |
Addresses
Primary practice location
200 S. Broadway
South Building, Suite #2-3
Tarrytown, NY 10591-4500
Mailing address
916 Lyman Ave
Peekskill, NY 10566-1820
Phone (914) 246-0148
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 |
|---|---|---|---|
| 006008 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina Wallace Acupuncture PLLC | Acupuncturist | Current | Accepting new patients |
Locations
200 S Broadway
Ste 2-3
Tarrytown, NY 10591
Phone (914) 246-0148
Organizations & group practices 1
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
- Tarrytown, NY
- NPI 1043978059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1487097937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 LYMAN AVE",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105661820",
"telephone_number": "914-246-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S. BROADWAY",
"address_2": "SOUTH BUILDING, SUITE #2-3",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914500",
"telephone_number": "914-246-0148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "CHRISTINA",
"middle_name": "ERIN",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-15",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "006008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.