Active NPI
Carol Lourie, ND, L.AC
- Acupuncturist
- Berkeley, CA
National Provider Identifier
1689800534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC3404
- Practice address
- 776 Page St
Berkeley, CA 94710-1326 - Phone
- (510) 526-2028
- Fax
- (510) 526-2032
- NPI assigned
- Jun 5, 2009
- 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 | AC3404 | CA | Primary |
Addresses
Primary practice location
776 Page St
Berkeley, CA 94710-1326
Mailing address
776 Page St
Berkeley, CA 94710-1326
Phone (510) 526-2028
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 |
|---|---|---|---|
| AC3404 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244160000000",
"number": "1689800534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "776 PAGE ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947101326",
"telephone_number": "510-526-2028",
"fax_number": "510-526-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "776 PAGE ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947101326",
"telephone_number": "510-526-2028",
"fax_number": "510-526-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOURIE",
"first_name": "CAROL",
"name_prefix": "Ms.",
"credential": "ND, L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-05",
"last_updated": "2009-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC3404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.