Active NPI
Amy Sue Odell Wilson, LIC. ACUPUNCTURIST
- Acupuncturist
- Peterborough, NH
National Provider Identifier
1932737608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 292
- Practice address
- 78 Concord Street
Peterborough, NH 03458 - Phone
- (603) 924-3777
- NPI assigned
- Mar 30, 2020
- 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 | 292 | NH | Primary |
Addresses
Primary practice location
78 Concord Street
Peterborough, NH 03458
Mailing address
44 Garland Way
Peterborough, NH 03458-2050
Phone (603) 289-1989
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 |
|---|---|---|---|
| 292 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1932737608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 GARLAND WAY",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034582050",
"telephone_number": "603-289-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 CONCORD STREET",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "03458",
"telephone_number": "603-924-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL WILSON",
"first_name": "AMY",
"middle_name": "SUE",
"credential": "LIC. ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NH",
"license": "292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peterborough, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.