Active NPI
Kaila Cruttenden, L.AC., DIPL OM
- Acupuncturist
- Truckee, CA
National Provider Identifier
1881016780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 14604
- Practice address
- 10049 Martis Valley Rd
Unit E
Truckee, CA 96161-0543 - Phone
- (530) 906-0150
- NPI assigned
- Jan 11, 2014
- Last updated
- Jan 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 14604 | CA | Primary |
Addresses
Primary practice location
10049 Martis Valley Rd
Unit E
Truckee, CA 96161-0543
Mailing address
PO Box 4
Truckee, CA 96160-0004
Phone (530) 906-0150
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elemental Back & Body | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389398400000",
"number": "1881016780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961600004",
"telephone_number": "530-906-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10049 MARTIS VALLEY RD",
"address_2": "UNIT E",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610543",
"telephone_number": "530-906-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTTENDEN",
"first_name": "KAILA",
"credential": "L.AC., DIPL OM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-11",
"last_updated": "2014-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "14604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.