Active NPI
Khristine Joy Haroldson, LAC
- Acupuncturist
- Elk Grove, CA
National Provider Identifier
1881900017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13193
- Practice address
- 9295 E Stockton Blvd
Suite 10
Elk Grove, CA 95624-4096 - Phone
- (916) 685-6380
- NPI assigned
- Aug 25, 2010
- Last updated
- Aug 25, 2010
- 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 | 13193 | CA | Primary |
Addresses
Primary practice location
9295 E Stockton Blvd
Suite 10
Elk Grove, CA 95624-4096
Mailing address
PO Box 774
Cupertino, CA 95015-0774
Phone (831) 345-9774
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13193 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundstrom Chiropractic Clinic Inc | Past | Accepting new patients | |
| Taryn Davis Chiropractic Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Elk Grove, CA
- NPI 1841009065
-
- Chiropractor
- Elk Grove, CA
- NPI 1952155061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1881900017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 774",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950150774",
"telephone_number": "831-345-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9295 E STOCKTON BLVD",
"address_2": "SUITE 10",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956244096",
"telephone_number": "916-685-6380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAROLDSON",
"first_name": "KHRISTINE",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.