Active NPI
Trudy Shryoc, L.AC.
- Acupuncturist
- Rockwall, TX
National Provider Identifier
1689446940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC02137
- Practice address
- 2504 Ridge Rd Ste 104
Rockwall, TX 75087-2570 - Phone
- (972) 813-9414
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC02137 | TX | Primary |
Addresses
Primary practice location
2504 Ridge Rd Ste 104
Rockwall, TX 75087-2570
Mailing address
6958 Battle Creek Rd
Fort Worth, TX 76116-9334
Phone (817) 401-2364
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC02137 | TX | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1689446940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6958 BATTLE CREEK RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761169334",
"telephone_number": "817-401-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 RIDGE RD STE 104",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750872570",
"telephone_number": "972-813-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRYOC",
"first_name": "TRUDY",
"name_prefix": "Mrs.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC02137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.