Individual provider Active NPI

Kayleigh Stack

  • Acupuncturist
  • Woodstock, NY
National Provider Identifier
1598497505
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
006910 Issued in NY
Practice address
23 Overlook Dr
Woodstock, NY 12498-1444
Phone
(845) 706-7377
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 006910 NY Primary

Addresses

Primary practice location

23 Overlook Dr
Woodstock, NY 12498-1444

Mailing address

23 Overlook Dr
Woodstock, NY 12498-1444
Phone (845) 706-7377

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://docs.google.com/spreadsheets/d/1uFOpS2wVtlnkkvZ-aLe25lMM_A1UfILBgOJcPObuOqg/edit#gid=0

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

LicenseStateTypeSpecialty
006910NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1598497505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OVERLOOK DR",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981444",
            "telephone_number": "845-706-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OVERLOOK DR",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981444",
            "telephone_number": "845-706-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACK",
        "first_name": "KAYLEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://docs.google.com/spreadsheets/d/1uFOpS2wVtlnkkvZ-aLe25lMM_A1UfILBgOJcPObuOqg/edit#gid=0",
            "affiliation": "N",
            "endpointDescription": "Excel file",
            "address_1": "23 Overlook Dr",
            "city": "Woodstock",
            "state": "NY",
            "country_code": "US",
            "postal_code": "124981444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.