Active NPI
Sandra Ann O'Connor, L.AC.
- Acupuncturist
- Gardiner, NY
National Provider Identifier
1508091869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1935-1
- Practice address
- 43 Lyons Rd
Gardiner, NY 12525-5055 - Phone
- (845) 255-6151
- Fax
- (845) 255-6151
- NPI assigned
- May 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 182345 | NY | MD | Registered Nurse |
| 1935-1 | NY | MD | Acupuncturist |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 182345 | NY | |
| Acupuncturist | 171100000X | 1935-1 | NY | Primary |
Addresses
Primary practice location
43 Lyons Rd
Gardiner, NY 12525-5055
Mailing address
43 Lyons Rd
Gardiner, NY 12525-5055
Phone (845) 255-6151
NPI Registry JSON
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1508091869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 LYONS RD",
"city": "GARDINER",
"state": "NY",
"postal_code": "125255055",
"telephone_number": "845-255-6151",
"fax_number": "845-255-6151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 LYONS RD",
"city": "GARDINER",
"state": "NY",
"postal_code": "125255055",
"telephone_number": "845-255-6151",
"fax_number": "845-255-6151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "SANDRA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "182345",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "1935-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardiner, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.