Individual provider Active NPI

Ashley Elizabeth Callen Kissinger, L.AC.

  • Acupuncturist
  • Athens, GA
National Provider Identifier
1992005284
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
13856 Issued in CA
Practice address
2080 Prince Ave
Athens, GA 30606-6047
Phone
(706) 850-2000
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13856 CA Primary

Addresses

Primary practice location

2080 Prince Ave
Athens, GA 30606-6047

Mailing address

2080 Prince Ave
Athens, GA 30606-6047
Phone (706) 850-2000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Kennamer LLC CurrentSince Feb 2, 2020 Accepting new patients
Life Alive, LLC PastSince Feb 2, 2020 Accepting new patients

Locations

2080 Prince Ave
Athens, GA 30606
Phone (706) 424-5924

Organizations & group practices 2

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": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1992005284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066047",
            "telephone_number": "706-850-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066047",
            "telephone_number": "706-850-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEN KISSINGER",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.