Individual provider Active NPI

Faith R. Russler, L. AC.

  • Acupuncturist
  • Decatur, GA
National Provider Identifier
1962558817
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000170 Issued in GA
Practice address
340 Mead Rd
Decatur, GA 30030-3625
Phone
(404) 378-1543
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000170 GA Primary
Acupuncturist 171100000X 001395 MD

Addresses

Primary practice location

340 Mead Rd
Decatur, GA 30030-3625

Mailing address

340 Mead Rd
Decatur, GA 30030-3625
Phone (404) 378-1543

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
000170GAMDAcupuncturist
001395MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Bonde Acupuncture, Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962558817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MEAD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303625",
            "telephone_number": "404-378-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MEAD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303625",
            "telephone_number": "404-378-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSLER",
        "first_name": "FAITH",
        "middle_name": "R.",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "000170",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "001395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.