Individual provider Active NPI

Anne Shelton Crute, DAOM

  • Acupuncturist
  • Berkeley, CA
National Provider Identifier
1942020441
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC17248 Issued in CA
Practice address
1508 Walnut St Ste D
Berkeley, CA 94709-1564
Phone
(415) 527-7142
Fax
(415) 527-7142
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC17248 CA Primary

Addresses

Primary practice location

1508 Walnut St Ste D
Berkeley, CA 94709-1564

Mailing address

1508 Walnut St Ste D
Berkeley, CA 94709-1564
Phone (415) 527-7142

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
AC17248CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1942020441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 WALNUT ST STE D",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091564",
            "telephone_number": "415-527-7142",
            "fax_number": "415-527-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 WALNUT ST STE D",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091564",
            "telephone_number": "415-527-7142",
            "fax_number": "415-527-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTE",
        "first_name": "ANNE SHELTON",
        "credential": "DAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.