Active NPI
Vanessa Rutkowski, LAC
- Acupuncturist
- Austin, TX
National Provider Identifier
1972719466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00631
- Practice address
- 2111 Dickson Dr
Suite 26
Austin, TX 78704-4796 - Phone
- (512) 899-8996
- Fax
- (512) 851-8996
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 | AC00631 | TX | Primary |
Addresses
Primary practice location
2111 Dickson Dr
Suite 26
Austin, TX 78704-4796
Mailing address
2111 Dickson Dr
Suite 26
Austin, TX 78704-4796
Phone (512) 899-8996
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 |
|---|---|---|---|
| AC00631 | TX | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiger Lily Acupuncture | 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.
-
- Acupuncturist
- Austin, TX
- NPI 1659559805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972719466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 DICKSON DR",
"address_2": "SUITE 26",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787044796",
"telephone_number": "512-899-8996",
"fax_number": "512-851-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 DICKSON DR",
"address_2": "SUITE 26",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787044796",
"telephone_number": "512-899-8996",
"fax_number": "512-851-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTKOWSKI",
"first_name": "VANESSA",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC00631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
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.