Active NPI
Therese Marie Powers, L.AC.
- Acupuncturist
- San Luis Obispo, CA
National Provider Identifier
1881990620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13997
- Practice address
- 4251 S Higuera St
Suite 300
San Luis Obispo, CA 93401-7700 - Phone
- (805) 748-8885
- NPI assigned
- Jan 26, 2011
- 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 | 13997 | CA | Primary |
Addresses
Primary practice location
4251 S Higuera St
Suite 300
San Luis Obispo, CA 93401-7700
Mailing address
4251 S Higuera St
#300
San Luis Obispo, CA 93401-7700
Phone (805) 748-8885
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 |
|---|---|---|---|
| 13997 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1881990620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 S HIGUERA ST",
"address_2": "#300",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017700",
"telephone_number": "805-748-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4251 S HIGUERA ST",
"address_2": "SUITE 300",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017700",
"telephone_number": "805-748-8885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "THERESE",
"middle_name": "MARIE",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-26",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.