Individual provider Active NPI

Celeste Parke, L.AC.

  • Acupuncturist
  • Encinitas, CA
National Provider Identifier
1932349537
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12861 Issued in CA
Practice address
499 N El Camino Real
Suite C202
Encinitas, CA 92024-1366
Phone
(760) 230-8151
Fax
(760) 452-7975
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 12861 CA Primary

Addresses

Primary practice location

499 N El Camino Real
Suite C202
Encinitas, CA 92024-1366

Mailing address

499 N El Camino Real
Suite C202
Encinitas, CA 92024-1366
Phone (760) 230-8151

Other identifiers 1

IdentifierTypeStateIssuer
AC12861OtherCACALIFORNIA STATE ACUPUNCTURE BOARD

Other names 1

  • Miss Celeste Welter Former name

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

LicenseStateTypeSpecialty
12861CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1932349537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 N EL CAMINO REAL",
            "address_2": "SUITE C202",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241366",
            "telephone_number": "760-230-8151",
            "fax_number": "760-452-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 N EL CAMINO REAL",
            "address_2": "SUITE C202",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241366",
            "telephone_number": "760-230-8151",
            "fax_number": "760-452-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKE",
        "first_name": "CELESTE",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE ACUPUNCTURE BOARD",
            "identifier": "AC12861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "WELTER",
            "prefix": "MISS",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.