Individual provider Active NPI

Norma Silvia Keukelaar, LAC NCCOM LAC

  • Acupuncturist
  • Riverside, CA
National Provider Identifier
1821130584
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5027 Issued in CA
Practice address
3045 Harrison St
Riverside, CA 92503-5555
Phone
(951) 689-1247
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC5027 CA Primary
Acupuncturist 171100000X 002018

Addresses

Primary practice location

3045 Harrison St
Riverside, CA 92503-5555

Mailing address

3045 Harrison St
Riverside, CA 92503-5555
Phone (951) 689-1247

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
AC5027CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821130584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 HARRISON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035555",
            "telephone_number": "951-689-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 HARRISON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035555",
            "telephone_number": "951-689-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUKELAAR",
        "first_name": "NORMA",
        "middle_name": "SILVIA",
        "name_prefix": "Ms.",
        "credential": "LAC NCCOM LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5027",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": "002018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.