Individual provider Active NPI

Kris McClanahan, C.AC.

  • Acupuncturist
  • Lexington, KY
National Provider Identifier
1740548684
Registry record updated Apr 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
TAC61 Issued in KY
Practice address
296 Southland Dr
Lexington, KY 40503-1932
Phone
(859) 402-2430
NPI assigned
Apr 29, 2012
Sex
Female
Sole proprietor
Yes

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
TAC61KYMDAcupuncturist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X TAC61 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

296 Southland Dr
Lexington, KY 40503-1932

Mailing address

221 Southport Dr
Lexington, KY 40503-1328
Phone (859) 333-9686

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2012.

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335657600000",
    "number": "1740548684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SOUTHPORT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031328",
            "telephone_number": "859-333-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031932",
            "telephone_number": "859-402-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "KRIS",
        "credential": "C.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-29",
        "last_updated": "2012-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "KY",
            "license": "TAC61",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2012; 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.