Individual provider Active NPI

Abigail Amanda Crimm, L.AC.

  • Acupuncturist
  • Grass Valley, CA
National Provider Identifier
1649923673
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
18948 Issued in CA
Practice address
152 Mill St
Grass Valley, CA 95945-4771
Phone
(530) 648-4192
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18948 CA Primary

Addresses

Primary practice location

152 Mill St
Grass Valley, CA 95945-4771

Mailing address

152 Mill St
Grass Valley, CA 95945-4771
Phone (530) 648-4192

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
18948CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Double Lotus Acupuncture Prof Corp Acupuncturist CurrentSince Feb 26, 2023 Accepting new patients

Locations

152 Mill St
Ste G
Grass Valley, CA 95945
Phone (530) 575-1506

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1649923673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MILL ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959454771",
            "telephone_number": "530-648-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MILL ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959454771",
            "telephone_number": "530-648-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIMM",
        "first_name": "ABIGAIL",
        "middle_name": "AMANDA",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.