Organization Active NPI

Elevate Wellness and Acupuncture Center

  • Acupuncturist
  • South Lake Tahoe, CA
National Provider Identifier
1659768687
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9696 Issued in CA
Legal business name
ELEVATE WELLNESS AND ACUPUNCTURE CENTER
Practice address
2244 Barton Ave
South Lake Tahoe, CA 96150-3408
Phone
(530) 541-9355
Fax
(530) 541-9350
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Melidna Choy, LAC
Title
Licensed Acupuncturist
Phone
(530) 541-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 9696 CA Primary

Addresses

Primary practice location

2244 Barton Ave
South Lake Tahoe, CA 96150-3408

Mailing address

2244 Barton Ave
South Lake Tahoe, CA 96150-3408
Phone (530) 541-9355

National Provider Directory

National Provider Directory

Locations

2244 Barton Ave
South Lake Tahoe, CA 96150
Phone (530) 494-0900

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1659768687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 BARTON AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503408",
            "telephone_number": "530-541-9355",
            "fax_number": "530-541-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 BARTON AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503408",
            "telephone_number": "530-541-9355",
            "fax_number": "530-541-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE WELLNESS AND ACUPUNCTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "CHOY",
        "authorized_official_first_name": "MELIDNA",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "530-541-9355",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.