Heidi Elizabeth Eberhardt, M.AC., LIC.AC.

Individual provider Active NPI Acupuncturist · Meredith, NH

NPI 1912286758 · NPPES record last updated Aug 10, 2011

Key facts

NPI
1912286758
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
0149 (NH)
Practice address
169 Daniel Webster Hwy
Meredith, NH 03253-5648
Phone
(617) 894-0178
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0149NHMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0149 NH Yes

Addresses

Primary practice location

169 Daniel Webster Hwy
Meredith, NH 03253-5648

Mailing address

27 Province St
Laconia, NH 03246-3836
Phone (617) 894-0178

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 10, 2011.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1912286758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PROVINCE ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463836",
            "telephone_number": "617-894-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 DANIEL WEBSTER HWY",
            "city": "MEREDITH",
            "state": "NH",
            "postal_code": "032535648",
            "telephone_number": "617-894-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHARDT",
        "first_name": "HEIDI",
        "middle_name": "ELIZABETH",
        "credential": "M.AC., LIC.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NH",
            "license": "0149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meredith, NH

All providers in Meredith, NH · Acupuncturist in New Hampshire

Sources for this page

Verify at the official NPI Registry.