Individual provider Active NPI

Elizabeth Lauren Yancelson, DAC

  • Acupuncturist
  • Bath, ME
National Provider Identifier
1679947188
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC530 Issued in ME
Practice address
94 Richardson St
Bath, ME 04530-3004
Phone
(207) 200-7317
NPI assigned
Nov 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC530 ME Primary

Addresses

Primary practice location

94 Richardson St
Bath, ME 04530-3004

Mailing address

813 Broadway
South Portland, ME 04106-2708
Phone (207) 274-8781

Other practice location 1

813 Broadway
South Portland, ME 04106-2708
Phone (207) 274-8781

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
AC530MEMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Soft Corner Midwifery PC CurrentSince Nov 10, 2024 Accepting new patients
Soft Corner Wellness LLC Acupuncturist CurrentSince Nov 9, 2025 Accepting new patients

Locations

94 Richardson St
Bath, ME 04530
Phone (207) 200-7317

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1679947188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 BROADWAY",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062708",
            "telephone_number": "207-274-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 RICHARDSON ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045303004",
            "telephone_number": "207-200-7317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Broadway",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062708",
            "country_code": "US",
            "telephone_number": "207-274-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANCELSON",
        "first_name": "ELIZABETH",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.