Kimberly Ann Smith Niezgoda, M.AC., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AK000972 Issued in PA

Practice address

490 Pennbrook Pkwy Ste 490
Lansdale, PA 19446-3818

Phone

(215) 500-3399

NPI assigned

Feb 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1891017927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PARK AVE",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461319",
            "telephone_number": "215-855-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PENNBROOK PKWY STE 490",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463818",
            "telephone_number": "215-500-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH NIEZGODA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.AC., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Slade
• Ruth Sloan
• Michele Kathleen Small
• George Andrew Smee, MS
• Smith Medical, LLC
• Marika Emanuel Smith, OTR/L
• Melissa Smith, LPN
• Richard G. Smith, M.D.
• Sarah Smith, CRNP
• Sean M Smullen, MD

• Acupuncturist in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.