Active NPI
Marian Suzanne Hughes, LAC
- Acupuncturist
- Petaluma, CA
National Provider Identifier
1659468494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 10159
- Practice address
- 210 4TH St Ste C
Petaluma, CA 94952-4201 - Phone
- (707) 293-6647
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 10159 | CA | Primary |
Addresses
Primary practice location
210 4TH St Ste C
Petaluma, CA 94952-4201
Mailing address
210 4TH St Ste C
Petaluma, CA 94952-4201
Phone (707) 293-6637
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 |
|---|---|---|---|
| 10159 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659468494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 4TH ST STE C",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949524201",
"telephone_number": "707-293-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 4TH ST STE C",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949524201",
"telephone_number": "707-293-6647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "MARIAN",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "10159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.