Individual provider Active NPI

Mary Katherine Teisinger Nicholson, A.P., D.O.M.

  • Acupuncturist
  • Winter Haven, FL
National Provider Identifier
1689880411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 1339 Issued in FL
Practice address
526 Avenue I NW
Winter Haven, FL 33881-4045
Phone
(863) 521-2999
NPI assigned
May 16, 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 AP 1339 FL Primary

Addresses

Primary practice location

526 Avenue I NW
Winter Haven, FL 33881-4045

Mailing address

535 E Pierce St
Lake Alfred, FL 33850-3027
Phone (863) 956-5604

Other names 1

  • Dr. Katherine Teisinger Professional name

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
AP 1339FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689880411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E PIERCE ST",
            "city": "LAKE ALFRED",
            "state": "FL",
            "postal_code": "338503027",
            "telephone_number": "863-956-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 AVENUE I NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814045",
            "telephone_number": "863-521-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "MARY KATHERINE",
        "middle_name": "TEISINGER",
        "name_prefix": "Mrs.",
        "credential": "A.P., D.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "TEISINGER",
            "prefix": "DR.",
            "credential": "A.P., D.O.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winter Haven, FL

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.