Individual provider Active NPI

Tara L Kiusalas, LIC. AC.

  • Acupuncturist
  • North Attleboro, MA
National Provider Identifier
1851560171
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
673 Issued in MA
Practice address
179 Arnold Rd
North Attleboro, MA 02760-1066
Phone
(508) 695-4647
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 673 MA Primary

Addresses

Primary practice location

179 Arnold Rd
North Attleboro, MA 02760-1066

Mailing address

179 Arnold Rd
North Attleboro, MA 02760-1066
Phone (508) 695-4647

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
673MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1851560171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 ARNOLD RD",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027601066",
            "telephone_number": "508-695-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 ARNOLD RD",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027601066",
            "telephone_number": "508-695-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIUSALAS",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.