Individual provider Active NPI

Izabel Farynick, MACCHM, LAC.

  • Acupuncturist
  • Bee Cave, TX
National Provider Identifier
1609600279
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC02179 Issued in TX
Practice address
3944 Ranch Road 620 S
BLDG 2, Suite 110
Bee Cave, TX 78738
Phone
(512) 766-3922
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC02179 TX Primary

Addresses

Primary practice location

3944 Ranch Road 620 S
BLDG 2, Suite 110
Bee Cave, TX 78738

Mailing address

1200 Barton Hills Dr Apt 219
Austin, TX 78704-1910
Phone (631) 579-6379

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
AC02179TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1609600279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BARTON HILLS DR APT 219",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041910",
            "telephone_number": "631-579-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 RANCH ROAD 620 S",
            "address_2": "BLDG 2, SUITE 110",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "512-766-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARYNICK",
        "first_name": "IZABEL",
        "credential": "MACCHM, LAC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC02179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.