Kim Creaven, MS, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

002755 Issued in NY

Practice address

129 Mitchell Ave
East Meadow, NY 11554-2237

Phone

(516) 998-5561

NPI assigned

Mar 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kim Tinevra Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1659543049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MITCHELL AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542237",
            "telephone_number": "516-998-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 MITCHELL AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542237",
            "telephone_number": "516-998-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAVEN",
        "first_name": "KIM",
        "credential": "MS, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "002755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "TINEVRA",
            "credential": "MS, L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carissa Ann Costello, LMHC
• County of Nassau County Controller
• Osayuwa Erica Cox, NP
• Brian Michael Coyne
• Paul Alan Crane, DMD
• Karl Cribbin, M.D.
• Adrian Crichton, O.D.
• Helen Cronk, RN
• Robin Croudo, LCSW
• Daniel Cruceta Reynoso

• Acupuncturist in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.