Kaley Jo Decker, L.AC., DIPL. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

84000132A Issued in IN

Practice address

903 N 7TH St
Vincennes, IN 47591-3107

Phone

(812) 255-0277

Fax

(812) 255-0272

NPI assigned

Jun 15, 2011

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Restoration Acupuncture Center

  • Acupuncturist
  • Vincennes, IN
  • NPI 1790360113
  NPD Authorized official

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1821383092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 N 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913107",
            "telephone_number": "812-255-0277",
            "fax_number": "812-255-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913107",
            "telephone_number": "812-255-0277",
            "fax_number": "812-255-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475912023",
            "country_code": "US",
            "telephone_number": "812-255-0277",
            "fax_number": "812-255-0272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "KALEY",
        "middle_name": "JO",
        "credential": "L.AC., DIPL. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000132A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Ann Day, RN
• Deaconess Specialty Physicians, Inc
• Nichole Dearborn, PTA
• Bart J Debrock, MD
• Jenelle Ann Decker, PTA
• John Warren Decoursey, O.D.
• Julie Deem, RBT
• Richard A Defelice, MD
• Tessa Lynn Defore, PTA
• Natasha Renee Dehosse, RN, MSN, CCRN, ACNP

• Acupuncturist in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Acupuncturist in Indiana

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

Verify at the official NPI Registry.