Active NPI
Michelle V. Trettenero, LAC
- Acupuncturist
- Placerville, CA
National Provider Identifier
1659752707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC16579
- Practice address
- 5168 Honpie Rd
Placerville, CA 95667-8682 - Phone
- (530) 387-4975
- NPI assigned
- Jun 15, 2015
- Reactivated
- Aug 11, 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 | AC16579 | CA | Primary |
Addresses
Primary practice location
5168 Honpie Rd
Placerville, CA 95667-8682
Mailing address
5168 Honpie Rd
Placerville, CA 95667-8682
Phone (530) 387-4975
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC16579 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shingle Springs Rancheria | Past | Accepting new patients |
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.
-
- Health Service Clinic/Center
- Placerville, CA
- NPI 1245356674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1659752707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5168 HONPIE RD",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956678682",
"telephone_number": "530-387-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5168 HONPIE RD",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956678682",
"telephone_number": "530-387-4975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRETTENERO",
"first_name": "MICHELLE",
"middle_name": "V.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-15",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"deactivation_date": "2023-07-18",
"reactivation_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC16579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.