Active NPI
Erin Lise Wood, L.AC.
- Acupuncturist
- Boulder Creek, CA
National Provider Identifier
1760785141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC13941
- Practice address
- 12704 Highway 9
Boulder Creek, CA 95006-9112 - Phone
- (510) 717-9663
- NPI assigned
- Dec 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC13941 | CA | Primary |
Addresses
Primary practice location
12704 Highway 9
Boulder Creek, CA 95006-9112
Mailing address
PO Box 201
Boulder Creek, CA 95006-0201
Phone (510) 717-9663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC13941 | Other | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC13941 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Community Health Centers | Acupuncturist | Past | 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.
-
dba Santa Cruz Women's Health Center
- Family Medicine Physician
- Santa Cruz, CA
- NPI 1902923329
Acupuncturist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1760785141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201",
"city": "BOULDER CREEK",
"state": "CA",
"postal_code": "950060201",
"telephone_number": "510-717-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12704 HIGHWAY 9",
"city": "BOULDER CREEK",
"state": "CA",
"postal_code": "950069112",
"telephone_number": "510-717-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "ERIN",
"middle_name": "LISE",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC13941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "AC13941",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.