Stepanie Ann Niederman, L.AC., DIPL. OF ACUP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 2703 Issued in CA

Practice address

1669 Plateau Cir
South Lake Tahoe, CA 96150-7432

Phone

(530) 542-0614

NPI assigned

Nov 19, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1861673782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16233",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961516233",
            "telephone_number": "530-542-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 PLATEAU CIR",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507432",
            "telephone_number": "530-542-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDERMAN",
        "first_name": "STEPANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "L.AC., DIPL. OF ACUP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 2703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh T Ngo, RPH
• Lam Nhat Nguyen, DDS
• Shane David Nibley
• Nicole H. Buell, D.D.S. Inc.
• Nicole M Jane, DDS, Ms, PC
• Elisabeth Nigrini, MD
• Peter Nocka
• Meagan Nordstrom, MD
• Daniel Arthur Norman, MD
• Jenifer Elyce Norris, MD

• Acupuncturist in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.