Active NPI
Eve Grossman, LCC AC, RN
- Acupuncturist
- Cornville, AZ
National Provider Identifier
1992024285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 367
- Practice address
- 5000 E Boulder Canyon Drive
Cornville, AZ 86325 - Phone
- (928) 634-7104
- NPI assigned
- May 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 367 | MA | Primary |
Addresses
Primary practice location
5000 E Boulder Canyon Drive
Cornville, AZ 86325
Mailing address
5000 E Boulder Canyon Drive
Cornville, AZ 86325
Phone (928) 634-7104
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 367 | MA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1992024285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 E BOULDER CANYON DRIVE",
"city": "CORNVILLE",
"state": "AZ",
"postal_code": "86325",
"telephone_number": "928-634-7104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 E BOULDER CANYON DRIVE",
"city": "CORNVILLE",
"state": "AZ",
"postal_code": "86325",
"telephone_number": "928-634-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "EVE",
"name_prefix": "Miss",
"credential": "LCC AC, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornville, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.