Autumn Bear, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

11896562-1201 Issued in UT

Practice address

5532 Lillehammer LN Ste 102
Park City, UT 84098-6078

Phone

(435) 659-7633

Fax

(971) 397-0394

NPI assigned

Mar 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Autumn Bear Acupuncture PLLC

  • Health Service Clinic/Center
  • Park City, UT
  • NPI 1841614625

  Acupuncturist

  NPD Authorized official
• Lamb Chiropractic PC

  • Chiropractor
  • New York, NY
  • NPI 1952572505
  NPD (past)

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1942524566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 LILLEHAMMER LN STE 102",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986078",
            "telephone_number": "646-415-1406",
            "fax_number": "971-397-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 LILLEHAMMER LN STE 102",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986078",
            "telephone_number": "435-659-7633",
            "fax_number": "971-397-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAR",
        "first_name": "AUTUMN",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "0042741",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "11896562-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elysia Barr
• Callie Bauer, LMT
• Caralyn Baxter, DPT
• Be Well Mental Health Therapy, LLC
• Hannah Leighton Beal-Malott, MD
• Kristina Coleman Beaver, P.T.
• Jennifer Beck-Schmidt, DC, RN
• Beehive Homes of Park City
• Elise Amelia Begg, PT, DPT
• Ellen Behrens, PH.D.

• Acupuncturist in Park City, UT
• Providers in Park City, UT by specialty
• Acupuncturist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.