Active NPI
Emily Elizabeth Klesitz, L.AC, DIPL.AC
- Acupuncturist
- Sanford, ME
National Provider Identifier
1639875453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC774
- Practice address
- 21 Daigle LN, Suite 101
Building E
Sanford, ME 04073 - Phone
- (207) 558-8482
- NPI assigned
- Feb 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC774 | ME | Primary |
Addresses
Primary practice location
21 Daigle LN, Suite 101
Building E
Sanford, ME 04073
Mailing address
11 Hoyt St Apt 301
South Portland, ME 04106-4304
Phone (732) 664-4580
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC774 | ME | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1639875453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HOYT ST APT 301",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041064304",
"telephone_number": "732-664-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 DAIGLE LN, SUITE 101",
"address_2": "BUILDING E",
"city": "SANFORD",
"state": "ME",
"postal_code": "04073",
"telephone_number": "207-558-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLESITZ",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"credential": "L.AC, DIPL.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-02",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ME",
"license": "AC774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.