Active NPI
Kerri Gentile Myatt, L.OM., DIPL.OM.
- Acupuncturist
- Bryn Mawr, PA
National Provider Identifier
1801198833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- OM000116
- Practice address
- 864 County Line Rd
Bryn Mawr, PA 19010-2516 - Phone
- (610) 308-4298
- NPI assigned
- Nov 24, 2010
- Last updated
- Nov 24, 2010
- Sex
- Female
- Sole proprietor
- No
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 | OM000116 | PA | Primary |
Addresses
Primary practice location
864 County Line Rd
Bryn Mawr, PA 19010-2516
Mailing address
326 Lea Dr
West Chester, PA 19382-8246
Phone (610) 308-4298
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 |
|---|---|---|---|
| OM000116 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1801198833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 LEA DR",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193828246",
"telephone_number": "610-308-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "864 COUNTY LINE RD",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190102516",
"telephone_number": "610-308-4298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYATT",
"first_name": "KERRI",
"middle_name": "GENTILE",
"name_prefix": "Mrs.",
"credential": "L.OM., DIPL.OM.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-24",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "OM000116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.