Individual provider Active NPI

Tammy Lora Waite, TAMMY WAITE, LIC. AC

  • Acupuncturist
  • Marblehead, MA
National Provider Identifier
1740450519
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
227439 Issued in MA
Practice address
5 Rowland CT
Marblehead, MA 01945-2338
Phone
(781) 639-0708
Fax
(781) 639-0708
NPI assigned
Mar 7, 2008
Last updated
Mar 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 227439 MA Primary

Addresses

Primary practice location

5 Rowland CT
Marblehead, MA 01945-2338

Mailing address

5 Rowland CT
Marblehead, MA 01945-2338
Phone (781) 639-0708

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
227439MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1740450519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROWLAND CT",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452338",
            "telephone_number": "781-639-0708",
            "fax_number": "781-639-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ROWLAND CT",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452338",
            "telephone_number": "781-639-0708",
            "fax_number": "781-639-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "TAMMY",
        "middle_name": "LORA",
        "credential": "TAMMY WAITE, LIC. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "227439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marblehead, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.