Active NPI
Kimberly Ann Alvarado, TX. L.AC.
- Acupuncturist
- Lago Vista, TX
National Provider Identifier
1508045717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00638
- Practice address
- 18422 Lakeland Dr
Lago Vista, TX 78645-8702 - Phone
- (512) 422-3699
- Fax
- (512) 267-6410
- NPI assigned
- Oct 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 | AC00638 | TX | Primary |
Addresses
Primary practice location
18422 Lakeland Dr
Lago Vista, TX 78645-8702
Mailing address
18422 Lakeland Dr
Lago Vista, TX 78645-8702
Phone (512) 422-3699
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 |
|---|---|---|---|
| AC00638 | TX | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1508045717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18422 LAKELAND DR",
"city": "LAGO VISTA",
"state": "TX",
"postal_code": "786458702",
"telephone_number": "512-422-3699",
"fax_number": "512-267-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18422 LAKELAND DR",
"city": "LAGO VISTA",
"state": "TX",
"postal_code": "786458702",
"telephone_number": "512-422-3699",
"fax_number": "512-267-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "TX. L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC00638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lago Vista, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.