Individual provider Active NPI

Abigail Hurewitz, LAC

  • Acupuncturist
  • Decatur, GA
National Provider Identifier
1730714858
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
463 Issued in GA
Practice address
340 Mead Rd
Decatur, GA 30030-3625
Phone
(404) 378-1543
NPI assigned
Mar 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 463 GA Primary

Addresses

Primary practice location

340 Mead Rd
Decatur, GA 30030-3625

Mailing address

865 Berne St SE
Atlanta, GA 30316-1874
Phone (917) 805-0963

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
463GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Bonde Acupuncture, Inc. Acupuncturist PastSince Mar 16, 2020 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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1730714858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 BERNE ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161874",
            "telephone_number": "917-805-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MEAD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303625",
            "telephone_number": "404-378-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUREWITZ",
        "first_name": "ABIGAIL",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.