Individual provider Active NPI

Aylee Marie Thierfelder, LAC.

  • Acupuncturist
  • Whitefish, MT
National Provider Identifier
1801309661
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
MED-ACU-LIC-78512 Issued in MT
Practice address
110 2ND St E
Whitefish, MT 59937-2410
Phone
(406) 863-6001
Fax
(406) 451-0333
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X MED-ACU-LIC-78512 MT Primary

Addresses

Primary practice location

110 2ND St E
Whitefish, MT 59937-2410

Mailing address

727 3Rd St W
Whitefish, MT 59937-3116
Phone (406) 249-3692

Other practice location 1

4230 NE Fremont St
Portland, OR 97213-1150
Phone (406) 249-3692

Other names 1

  • Aylee Marie McFadden Former name

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
MED-ACU-LIC-78512MTMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1801309661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 3RD ST W",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599373116",
            "telephone_number": "406-249-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST E",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372410",
            "telephone_number": "406-863-6001",
            "fax_number": "406-451-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230 NE Fremont St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972131150",
            "country_code": "US",
            "telephone_number": "406-249-3692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIERFELDER",
        "first_name": "AYLEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LAC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MT",
            "license": "MED-ACU-LIC-78512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYLEE",
            "last_name": "MCFADDEN",
            "middle_name": "MARIE",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.