Individual provider Active NPI

Christine Tarradelles, L.AC

  • Acupuncturist
  • San Rafael, CA
National Provider Identifier
1982041794
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5583 Issued in CA
Practice address
907 Irwin St
San Rafael, CA 94901-3317
Phone
(510) 409-0145
Fax
(510) 524-0145
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5583 CA Primary

Addresses

Primary practice location

907 Irwin St
San Rafael, CA 94901-3317

Mailing address

32 Fairway Dr
San Rafael, CA 94901-2314
Phone (510) 409-0145

Other names 1

  • Mrs. Christine Tarradelles Newell Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1982041794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FAIRWAY DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012314",
            "telephone_number": "510-409-0145",
            "fax_number": "510-524-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 IRWIN ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013317",
            "telephone_number": "510-409-0145",
            "fax_number": "510-524-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRADELLES",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "NEWELL",
            "middle_name": "TARRADELLES",
            "prefix": "MRS.",
            "credential": "L.AC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.