Organization Active NPI

Acupuncturenky LLC

  • Acupuncturist
  • Crescent Springs, KY
National Provider Identifier
1720721129
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ACUPUNCTURENKY LLC
Practice address
747 Buttermilk Pike
Crescent Springs, KY 41017-1310
Phone
(859) 586-0111
Fax
(859) 242-7008
NPI assigned
Apr 14, 2022
Last updated
Apr 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Mrs. Kristi A Grogan, PRESIDENTNPI 1841984358
Title
Owner
Phone
(859) 802-9770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary

Addresses

Primary practice location

747 Buttermilk Pike
Crescent Springs, KY 41017-1310

Mailing address

747 Buttermilk Pike
Crescent Springs, KY 41017-1310
Phone (859) 586-0111

Other identifiers 2

IdentifierTypeStateIssuer
1770876674OtherKYNPI: PORTIA PETTITT L.AC.
1124784028OtherKYNPI: DR NINE-KENG MONICA HSU

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://acupuncturenky.myaestheticrecord.com/ Direct
CONNECT URL https://acupuncturenky.myaestheticrecord.com/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

747 Buttermilk Pike
Crescent Springs, KY 41017
Phone (859) 292-4960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1720721129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 BUTTERMILK PIKE",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171310",
            "telephone_number": "859-586-0111",
            "fax_number": "859-242-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BUTTERMILK PIKE",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171310",
            "telephone_number": "859-586-0111",
            "fax_number": "859-242-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURENKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "GROGAN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-802-9770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI: PORTIA PETTITT L.AC.",
            "identifier": "1770876674",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI: DR NINE-KENG MONICA HSU",
            "identifier": "1124784028",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://acupuncturenky.myaestheticrecord.com/",
            "affiliation": "N",
            "endpointDescription": "My Patient Chart",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "747 Buttermilk Pike",
            "city": "Crescent Springs",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410171310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://acupuncturenky.myaestheticrecord.com/",
            "affiliation": "N",
            "endpointDescription": "PatientPortal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "747 Buttermilk Pike",
            "city": "Crescent Springs",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410171310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crescent Springs, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.