Individual provider Active NPI

Coreen Elizabeth Lamark L.Ac., L.AC

  • Acupuncturist
  • Grass Valley, CA
National Provider Identifier
1659796464
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14820 Issued in CA
Practice address
1097 E Main St Ste a
Grass Valley, CA 95945-5718
Phone
(530) 448-3613
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC14820 CA Primary

Addresses

Primary practice location

1097 E Main St Ste a
Grass Valley, CA 95945-5718

Mailing address

111 Bank St # 138
Grass Valley, CA 95945-6518
Phone (530) 448-3613

Other practice location 1

354 Providence Mine Rd
Nevada City, CA 95959-2977
Phone (530) 448-3613

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
AC14820CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1659796464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BANK ST # 138",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456518",
            "telephone_number": "530-448-3613",
            "fax_number": "530-470-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 E MAIN ST STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455718",
            "telephone_number": "530-448-3613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Providence Mine Rd",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959592977",
            "country_code": "US",
            "telephone_number": "530-448-3613",
            "fax_number": "530-470-9163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMARK L.AC.",
        "first_name": "COREEN",
        "middle_name": "ELIZABETH",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14820",
            "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 May 17, 2019; 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.