Individual provider Active NPI

Liana Victoria Avetian, L.AC

  • Acupuncturist
  • Boston, MA
National Provider Identifier
1639495302
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
237924 Issued in MA
Practice address
575 Boylston St
Boston, MA 02116-3607
Phone
(617) 778-7344
NPI assigned
Apr 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 237924 MA Primary

Addresses

Primary practice location

575 Boylston St
Boston, MA 02116-3607

Mailing address

97 Winter St
Belmont, MA 02478-1116
Phone (339) 225-1234

Other names 1

  • Ms. Liana Victoria Sarkisova Former name

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
237924MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1639495302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WINTER ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781116",
            "telephone_number": "339-225-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163607",
            "telephone_number": "617-778-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVETIAN",
        "first_name": "LIANA",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "237924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIANA",
            "last_name": "SARKISOVA",
            "middle_name": "VICTORIA",
            "prefix": "MS.",
            "credential": "L.AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.