Individual provider Active NPI

Renee Irene Stucklen, LAC, DIPL. OM; LMT

  • Acupuncturist
  • Tucson, AZ
National Provider Identifier
1609217215
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0884 Issued in AZ
Practice address
282 E River Rd Ste 101
Tucson, AZ 85704-5838
Phone
(520) 849-9003
Fax
(520) 783-9003
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0884 AZ Primary

Addresses

Primary practice location

282 E River Rd Ste 101
Tucson, AZ 85704-5838

Mailing address

PO Box 64403
Tucson, AZ 85728-4403
Phone (520) 849-9003

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
0884AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1609217215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64403",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857284403",
            "telephone_number": "520-849-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 E RIVER RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045838",
            "telephone_number": "520-849-9003",
            "fax_number": "520-783-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKLEN",
        "first_name": "RENEE",
        "middle_name": "IRENE",
        "credential": "LAC, DIPL. OM; LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.