Individual provider Active NPI

Kimbrell Rayfield, L.AC

  • Acupuncturist
  • Atlanta, GA
National Provider Identifier
1700014776
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
216 Issued in GA
Practice address
4370 Georgetown SQ
Atlanta, GA 30338-6205
Phone
(770) 457-4677
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 216 GA Primary

Addresses

Primary practice location

4370 Georgetown SQ
Atlanta, GA 30338-6205

Mailing address

4370 Georgetown SQ
Atlanta, GA 30338-6205
Phone (770) 456-4677

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
216GAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1700014776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 GEORGETOWN SQ",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386205",
            "telephone_number": "770-456-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 GEORGETOWN SQ",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386205",
            "telephone_number": "770-457-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYFIELD",
        "first_name": "KIMBRELL",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.