Individual provider Active NPI

Susan Wagner, L.AC..

  • Acupuncturist
  • Tucson, AZ
National Provider Identifier
1700178803
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0696 Issued in AZ
Practice address
3333 N Campbell Ave
Suite 12
Tucson, AZ 85719-2357
Phone
(520) 955-0575
Fax
(888) 501-1017
NPI assigned
May 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0696 AZ Primary

Addresses

Primary practice location

3333 N Campbell Ave
Suite 12
Tucson, AZ 85719-2357

Mailing address

PO Box 74
Vail, AZ 85641-0074
Phone (520) 955-0575

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Wei, PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1700178803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856410074",
            "telephone_number": "520-955-0575",
            "fax_number": "888-501-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CAMPBELL AVE",
            "address_2": "SUITE 12",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192357",
            "telephone_number": "520-955-0575",
            "fax_number": "888-501-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SUSAN",
        "credential": "L.AC..",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-07",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.