Kristin Gundrum, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

65.000161 Issued in OH

Practice address

1026 Delta Ave Ste a
Blooming Lotus Acupuncture
Cincinnati, OH 45208-3164

Phone

(513) 400-4170

NPI assigned

Jul 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1487909420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 WOOSTER PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452274002",
            "telephone_number": "513-370-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 DELTA AVE STE A",
            "address_2": "BLOOMING LOTUS ACUPUNCTURE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452083164",
            "telephone_number": "513-400-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDRUM",
        "first_name": "KRISTIN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "KY",
            "license": "AC044",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Gumbert
• Shirley Brook Gumm, RN CPNP
• Emily Gump, RD
• Sai M Gundavarpu, MD
• Ryan Gunderson
• Audrey Ellen Gunn, DO
• Emily A Gunn
• Jamie Lynn Gunn, FNP-C
• Jeanine Marie Gunn, P.T.
• Laura Gunn, LPCC-S

• Acupuncturist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Acupuncturist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.