Elaine Kathryn Bynum, L.AC., C.M.T.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

12292 Issued in CA

Practice address

129 N Halcyon Rd Ste H
Arroyo Grande, CA 93420-2587

Phone

(805) 722-5847

NPI assigned

Feb 4, 2011

Last updated

Feb 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kate Bynum Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1609172816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934830888",
            "telephone_number": "805-722-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N HALCYON RD STE H",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202587",
            "telephone_number": "805-722-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "ELAINE",
        "middle_name": "KATHRYN",
        "credential": "L.AC., C.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "BYNUM",
            "credential": "L.AC., C.M.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Acupuncturist in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.