Individual provider Active NPI

Kazuko Devirgilio, L.AC

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1871191163
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01977 Issued in TX
Practice address
10601 Pecan Park Blvd Ste 302
Austin, TX 78750-1448
Phone
(512) 507-2854
NPI assigned
Oct 9, 2020
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01977 TX Primary

Addresses

Primary practice location

10601 Pecan Park Blvd Ste 302
Austin, TX 78750-1448

Mailing address

709 Maplecreek Dr
Leander, TX 78641-7965
Phone (512) 507-2854

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kazuko.massagetherapy.com

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
AC01977TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1871191163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MAPLECREEK DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786417965",
            "telephone_number": "512-507-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 PECAN PARK BLVD STE 302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501448",
            "telephone_number": "512-507-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIRGILIO",
        "first_name": "KAZUKO",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kazuko.massagetherapy.com",
            "affiliation": "N",
            "endpointDescription": "business website",
            "address_1": "10601 Pecan Park Blvd Ste 302",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787501448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.