Active NPI
Micaela Barrett Wilson, LAC
- Acupuncturist
- Newtown, PA
National Provider Identifier
1508536277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- OM000332
- Practice address
- 770 Newtown Yardley Rd Ste 214
Newtown, PA 18940-4501 - Phone
- (720) 230-3225
- NPI assigned
- Sep 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | OM000332 | PA | Primary |
| Acupuncturist | 171100000X | ACU.0002705 | CO |
Addresses
Primary practice location
770 Newtown Yardley Rd Ste 214
Newtown, PA 18940-4501
Mailing address
770 Newtown Yardley Rd Ste 214
Newtown, PA 18940-4501
Phone (215) 589-9184
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 |
|---|---|---|---|
| ACU.0002705 | CO | MD | Acupuncturist |
| OM000332 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1508536277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 NEWTOWN YARDLEY RD STE 214",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189404501",
"telephone_number": "215-589-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 NEWTOWN YARDLEY RD STE 214",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189404501",
"telephone_number": "720-230-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MICAELA",
"middle_name": "BARRETT",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "OM000332",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "ACU.0002705",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.