Maya W Noble, L. AC.,DIPL OF AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AK000898 Issued in PA

Practice address

134 E Tioga Street
Four Winds Acupuncture Clinic
Tunkhannock, PA 18657

Phone

(570) 836-7777

Fax

(215) 550-3670

NPI assigned

Aug 19, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Four Winds Center for Healing and the Arts, Inc

  • Acupuncturist
  • Tunkhannock, PA
  • NPI 1346907276
  NPD Authorized official

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1912154279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 E TIOGA STREET",
            "address_2": "FOUR WINDS ACUPUNCTURE CLINIC",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "18657",
            "telephone_number": "570-836-7777",
            "fax_number": "215-550-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 E TIOGA STREET",
            "address_2": "FOUR WINDS ACUPUNCTURE CLINIC",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "18657",
            "telephone_number": "570-836-7777",
            "fax_number": "215-550-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "MAYA",
        "middle_name": "W",
        "credential": "L. AC.,DIPL OF AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON PARTICIPATING PROVIDER",
            "identifier": "AK000898",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.