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Kimberly Deterding , LAC, LMT

Acupuncturist β€’ Independence, IA

Active NPI 1407262801 Individual Practitioner Female Practitioner
Practice location in NPPES

111 1st St E
Independence, IA 506442806

Call 3192319545 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 1st St E

Independence, IA 506442806

Telephone 3192319545

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Independence and Iowa

1 active clinicians are listed under Acupuncturist with a practice address in Independence, IA (56 in Iowa).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-09
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES IA A-138

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Massage Therapist

NUCC Taxonomy Code: 225700000X

License # reported to NPPES IA 007159

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Iowa State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location October 09, 2025

Registered at 111 1ST ST E, INDEPENDENCE, IA 506442806 (Tel: 3192319545)

πŸ‘€
Provider Name / Credentials Updated October 09, 2025

Recorded as KIMBERLY DETERDING, LAC; LMT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2025

Acupuncturist (license number reported to NPPES: IA A-138)

πŸ“
Updated Practice Location September 19, 2019

Registered at 3336 KIMBALL AVE STE 150B, WATERLOO, IA 507025762 (Tel: 3192319545)

πŸ“
Updated Business Mailing Address September 19, 2019

Registered at 3336 KIMBALL AVE STE 150B, WATERLOO, IA 507025762 (Tel: 3192319545)

βœ…
NPI Profile Active July 07, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 07, 2014

Registered at 2332 DUSTY RD, WATERLOO, IA 507019733 (Tel: 3192319545)

πŸ“
Business Mailing Address (Initial Record) July 07, 2014

Registered at 2332 DUSTY RD, WATERLOO, IA 507019733 (Tel: 3192319545)

πŸ‘€
Provider Name / Credentials (Initial Record) July 07, 2014

Recorded as KIMBERLY DETERDING, LMT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2014

Massage Therapist (license number reported to NPPES: IA 007159)

🟒
Initial NPI Registration & Enumeration July 07, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407262801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2014
Last Update: October 09, 2025
Sole Proprietor: Yes

Mailing Address

3336 Kimball Ave Ste 150b

Waterloo, IA 507025762

Phone: 3192319545

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.