Kenna Bouvet, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006730 Issued in NY

Practice address

531 50TH Ave
Long Island City, NY 11101-6297

Phone

(917) 725-0299

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Earth Sky Massage and Acupuncture

  • Health Service Clinic/Center
  • Long Island City, NY
  • NPI 1306557533
  NPD Authorized official

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1689202806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 50TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016297",
            "telephone_number": "917-725-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 50TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016297",
            "telephone_number": "917-725-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUVET",
        "first_name": "KENNA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inger Melissa Borgen-Rovitz
• Boro Medical, P.C.
• Mary Pokuah Bosompem, R.N.
• Natalia Estefania Botero, R.D.
• Boulevard Surgical Center, Inc
• Elishah Bowman, RN
• Bonnie Boyce
• Cristina Goncalves Boylan
• Helen Boynowsky, LCSW
• Melissa Bracero, LMSW

• Acupuncturist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.