Individual provider Active NPI

Kaoru Yanagawa, LMT

  • Acupuncturist
  • New York, NY
National Provider Identifier
1750026118
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007164 Issued in NY
Practice address
19 W 45TH St Ste 501
New York, NY 10036-4904
Phone
(646) 842-8090
NPI assigned
Apr 30, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 030014 NY
Acupuncturist 171100000X 007164 NY Primary

Addresses

Primary practice location

19 W 45TH St Ste 501
New York, NY 10036-4904

Mailing address

390 E 8TH St Apt 4D
New York, NY 10009-5336
Phone (646) 842-8090

Other practice location 1

598 Broadway Fl 12
New York, NY 10012-3351
Phone (917) 886-5860

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
030014NYMDMassage Therapist
007164NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Sumption Acupuncture Acupuncturist PastSince May 16, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1750026118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 E 8TH ST APT 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100095336",
            "telephone_number": "646-842-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 45TH ST STE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364904",
            "telephone_number": "646-842-8090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "598 Broadway Fl 12",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100123351",
            "country_code": "US",
            "telephone_number": "917-886-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANAGAWA",
        "first_name": "KAORU",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030014",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

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