Active NPI
Carrie Ann Smith, L.AC.
- Acupuncturist
- Grass Valley, CA
National Provider Identifier
1497974000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 10164
- Practice address
- 412 E Main St
Suite # E
Grass Valley, CA 95945-6533 - Phone
- (530) 273-8471
- NPI assigned
- Apr 24, 2007
- 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 | AC 10164 | CA | Primary |
Addresses
Primary practice location
412 E Main St
Suite # E
Grass Valley, CA 95945-6533
Mailing address
PO Box 691
Grass Valley, CA 95945
Phone (530) 273-8471
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 |
|---|---|---|---|
| AC 10164 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1497974000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 691",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-273-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 E MAIN ST",
"address_2": "SUITE # E",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456533",
"telephone_number": "530-273-8471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CARRIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 10164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.