Individual provider Active NPI

Naomi Grace Hansen, LAC

  • Acupuncturist
  • New York, NY
National Provider Identifier
1871322370
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007562 Issued in NY
Practice address
14 E 4TH St RM 604
New York, NY 10012-1141
Phone
(917) 554-6860
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 007562 NY Primary

Addresses

Primary practice location

14 E 4TH St RM 604
New York, NY 10012-1141

Mailing address

54 Orchard St Apt 9B
New York, NY 10002-5483
Phone (917) 554-6860

Other practice location 1

39 W 14th St Ste 201
New York, NY 10011-7406
Phone (917) 554-6860

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
007562NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1871322370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 ORCHARD ST APT 9B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025483",
            "telephone_number": "917-554-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 4TH ST RM 604",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121141",
            "telephone_number": "917-554-6860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 W 14th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117406",
            "country_code": "US",
            "telephone_number": "917-554-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "NAOMI",
        "middle_name": "GRACE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.