Yvonne Perez Kettering, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

TXAC00847 Issued in TX

Practice address

8701 Shoal Creek Blvd
Suite 302
Austin, TX 78757-6864

Phone

(512) 801-2453

Fax

(512) 420-8573

NPI assigned

Jan 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Yvonne Perez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1629374301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 SHOAL CREEK BLVD",
            "address_2": "SUITE 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576864",
            "telephone_number": "512-801-2453",
            "fax_number": "512-420-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 SHOAL CREEK BLVD",
            "address_2": "SUITE 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576864",
            "telephone_number": "512-801-2453",
            "fax_number": "512-420-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERING",
        "first_name": "YVONNE",
        "middle_name": "PEREZ",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "TXAC00847",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "TX",
            "license": "MT107098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0031DG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0944746-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "PEREZ",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Kestner, ANP, GNP
• Susan Kestner, CPO
• Shobhit R Keswani
• Saini Kethireddy, MD
• Lauren Elizabeth Ketron, OTR/L
• Brenda Kettle
• Travis Kettle, DDS
• Kevin E. Lew, DDS, MD, PLLC
• Kevin McFarley, PH.D. (Assessment Associates of Austin)
• Kevin P. Spencer, MD, PA

• Acupuncturist in Austin, TX
• Providers in Austin, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.