Individual provider Active NPI

Mara Elizabeth Ziecker, D.O.M.

  • Acupuncturist
  • Rio Rancho, NM
National Provider Identifier
1679608202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
899 Issued in NM
Practice address
2802 19TH Ave SE
Rio Rancho, NM 87124-1700
Phone
(505) 891-9871
Fax
(505) 891-9871
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 899 NM Primary

Addresses

Primary practice location

2802 19TH Ave SE
Rio Rancho, NM 87124-1700

Mailing address

2802 19TH Ave SE
Rio Rancho, NM 87124-1700
Phone (505) 891-9871

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
899NMMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679608202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 19TH AVE SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241700",
            "telephone_number": "505-891-9871",
            "fax_number": "505-891-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 19TH AVE SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241700",
            "telephone_number": "505-891-9871",
            "fax_number": "505-891-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIECKER",
        "first_name": "MARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.