Active NPI
Elizabeth Tuttle, DOM
- Acupuncturist
- Pecos, NM
National Provider Identifier
1487908729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 735
- Practice address
- 16 Freds Loop
Box 1012
Pecos, NM 87552-1012 - Phone
- (505) 757-2140
- NPI assigned
- Nov 8, 2012
- Last updated
- Jan 24, 2013
- 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 | 735 | NM | Primary |
Addresses
Primary practice location
16 Freds Loop
Box 1012
Pecos, NM 87552-1012
Mailing address
16 Freds Loop
PO Box 1012
Pecos, NM 87552-1012
Phone (505) 757-2140
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 |
|---|---|---|---|
| 735 | NM | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture Healing Alternatives, LLC | Acupuncturist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Peocs, NM
- NPI 1245578277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1487908729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FREDS LOOP",
"address_2": "PO BOX 1012",
"city": "PECOS",
"state": "NM",
"postal_code": "875521012",
"telephone_number": "505-757-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 FREDS LOOP",
"address_2": "BOX 1012",
"city": "PECOS",
"state": "NM",
"postal_code": "875521012",
"telephone_number": "505-757-2140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pecos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.