Nicole Berrios, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0935 Issued in AZ

Practice address

2034 S Alma School Rd Ste 4
Mesa, AZ 85210-4004

Phone

(480) 712-7032

NPI assigned

Aug 6, 2019

Last updated

Aug 6, 2019By the provider in NPPES

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

• Nicole Signoretti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Path of Wellness Healing Arts LLC

  • Acupuncturist
  • Mesa, AZ
  • NPI 1992350672
  NPD Authorized official

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1679128615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 S ALMA SCHOOL RD STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104004",
            "telephone_number": "480-712-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 S ALMA SCHOOL RD STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104004",
            "telephone_number": "480-712-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS",
        "first_name": "NICOLE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SIGNORETTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory Jude Bernier, MASSAGE THERIPIST
• Bernstein Nikroo Elite Sports Chiropractic (Elite Sports Medicine)
• Desmond Bernstein, DPT
• Sanya Beronja, FNP
• David Berrey, D.O.
• Elizabeth K Berry, M.C., LPC
• Janette Marie Berry, AU.D.
• Jennifer Lynn Berry, ACNP
• Jonathan Khanh Berry
• Richard Kent Berry, PT

• Acupuncturist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.