Individual provider Active NPI

Heather Bree, MSOM, LAC

  • Acupuncturist
  • Raleigh, NC
National Provider Identifier
1992444764
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
565 Issued in NC
Practice address
620 W Lane St Ste 103
Raleigh, NC 27603-1441
Phone
(919) 665-8908
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 565 NC Primary

Addresses

Primary practice location

620 W Lane St Ste 103
Raleigh, NC 27603-1441

Mailing address

2105 Pathway Dr
Chapel Hill, NC 27516-7713
Phone (919) 665-8908

Other practice location 1

147 W King St
Hillsborough, NC 27278-2543
Phone (919) 665-8908

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
565NCMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1992444764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 PATHWAY DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275167713",
            "telephone_number": "919-665-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W LANE ST STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031441",
            "telephone_number": "919-665-8908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 W King St",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272782543",
            "country_code": "US",
            "telephone_number": "919-665-8908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREE",
        "first_name": "HEATHER",
        "credential": "MSOM, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.