Diane Fay Carrk, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

007223 Issued in NY

Practice address

288 Main St
Middleburgh, NY 12122-6519

Phone

(518) 810-5224

NPI assigned

Dec 26, 2022

Last updated

Dec 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1700599537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 MAIN ST STE 5",
            "city": "MIDDLEBURGH",
            "state": "NY",
            "postal_code": "121226519",
            "telephone_number": "518-810-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 MAIN ST",
            "city": "MIDDLEBURGH",
            "state": "NY",
            "postal_code": "121226519",
            "telephone_number": "518-810-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 Main St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Middleburgh",
            "state": "NY",
            "postal_code": "121226519",
            "country_code": "US",
            "telephone_number": "518-810-5224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRK",
        "first_name": "DIANE",
        "middle_name": "FAY",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "843850215",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.acusimple.com",
            "affiliation": "N",
            "address_1": "289 Bryan Rd",
            "city": "Rensselaerville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121471905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caroline E Marie Andrew, FNP-BC
• Felicia Bacon, PHARMD
• Bassett Healthcare Middleburgh
• Peter H Bennett
• Joanne P Coonradt, PT
• Jenna Crull
• Sydney Dethomasis
• Sierra Diamond
• Lisa M Donnini, RPH

• Acupuncturist in Middleburgh, NY
• Providers in Middleburgh, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.