Leah Shadwick, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC01379 Issued in TX

Practice address

4101 Medical Pkwy
Suite 204
Austin, TX 78756-3734

Phone

(512) 761-6719

NPI assigned

Mar 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Birds Nest Acupuncture

  • Acupuncturist
  • Austin, TX
  • NPI 1336530187
  Authorized official Same address or phone

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1790026508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 MEDICAL PKWY",
            "address_2": "SUITE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563734",
            "telephone_number": "512-761-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MEDICAL PKWY",
            "address_2": "SUITE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563734",
            "telephone_number": "512-761-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADWICK",
        "first_name": "LEAH",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabnam Rehman MD PLLC
• Vicki Shackelford, LPC
• Caroline M Shackett, PHD
• Daniel Albert Shaddock, D.C.
• Ashkan Shademan, M.D.
• Shady Hollow Dental PLLC (Oak Park Dental)
• Zane Aaron Shaeffer, M.D.
• Jennifer Shafer, MD
• Karen Eleanor Boyd Shafer, LPC
• Kathleen M Shafer, O.D.

• Acupuncturist in Austin, TX
• Providers in Austin, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.