Michael Sean Sweeney, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 15432 Issued in CA

Practice address

1819 4TH St
Santa Rosa, CA 95404-3202

Phone

(707) 843-3957

Fax

(707) 523-9848

NPI assigned

Dec 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Red Thread Institute

  • Primary Care Clinic/Center
  • Santa Rosa, CA
  • NPI 1922450998
  NPD (past)

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1508287335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9145",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954051145",
            "telephone_number": "707-843-3957",
            "fax_number": "707-523-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043202",
            "telephone_number": "707-843-3957",
            "fax_number": "707-523-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MICHAEL",
        "middle_name": "SEAN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 15432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Swanson, LCSW
• Linda Marie Swarthout
• Supreeya Swarup, D.O.
• Robert Earle Sweat, M.D.
• Brittany Nichole Sweeney, PA
• Rebecca Sweeney
• Clifford F Sweet, MD
• Megan Sweetman
• Wanda Jean Swenson, P.T.
• Alysia Swint, MD, MPH

• Acupuncturist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.