Individual provider Active NPI

Eva-Renate Christine Cotter, L. AC.

  • Acupuncturist
  • Santee, CA
National Provider Identifier
1972679413
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC5343 Issued in CA
Practice address
8954 Carlton Hills Blvd
Santee, CA 92071-2932
Phone
(619) 667-9931
Fax
(619) 562-9871
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC5343 CA Primary

Addresses

Primary practice location

8954 Carlton Hills Blvd
Santee, CA 92071-2932

Mailing address

16730 Wikiup Rd
Ramona, CA 92065-4189
Phone (619) 667-9931

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
AC5343CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanne M Grant Chiropractic Corp 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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1972679413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16730 WIKIUP RD",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920654189",
            "telephone_number": "619-667-9931",
            "fax_number": "619-562-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 CARLTON HILLS BLVD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712932",
            "telephone_number": "619-667-9931",
            "fax_number": "619-562-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "EVA-RENATE",
        "middle_name": "CHRISTINE",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.