Fae E Kontje-Gibbs, LIC. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

217675 Issued in MA

Practice address

86 N William St
Vineyard Haven, MA 02568-5436

Phone

(508) 693-6993

NPI assigned

Jan 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700930872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 N WILLIAM ST",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685436",
            "telephone_number": "508-693-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 N WILLIAM ST",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685436",
            "telephone_number": "508-693-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTJE-GIBBS",
        "first_name": "FAE",
        "middle_name": "E",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "217675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Jane Kildegaard, MA
• Lydia Catherine Kingsbury
• Alexander Kisselgof, LIC. AC.
• April Knight, M.A., LMHC
• Kathleen E Koehler, MD
• Kristine Kopp, D.C.
• Terry F Kriedman, M.D.
• Susan Bradley Lacus, MA
• Samantha Laffey
• Evan Macdonald Lamont

• All providers in Vineyard Haven, MA
• Acupuncturist in Massachusetts

• 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.