Mary Kinneavy, LIC. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0039 Issued in MA

Practice address

1601 Washington St
3Rd Floor
Boston, MA 02118-1951

Phone

(617) 859-3036

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pathways to Wellness, Inc.

  • Acupuncturist
  • Boston, MA
  • NPI 1881862985
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992900963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HUNTINGTON AVE",
            "address_2": "12M",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155919",
            "telephone_number": "617-549-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WASHINGTON ST",
            "address_2": "3RD FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181951",
            "telephone_number": "617-859-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEAVY",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "0039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saurav Aditya Kini, MBBS
• Peter N Kinirons, MBBCH
• Paul Kinkopf
• Karen Anne Kinnaman
• Jenny Christine Kinne, MS, RD, LDN, CLC
• Emily Kinney
• Hillary Anne Kinney, DMD
• Lora Kinney
• Victoria Kinniard
• Jeanne Kinsella

• Acupuncturist in Boston, MA
• Providers in Boston, MA by specialty
• Acupuncturist in Massachusetts

• 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.

Verify at the official NPI Registry.