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Fannie Tan Koa , LICAC, DIPLOM

Acupuncturist β€’ Somerville, MA

Active NPI 1588925077 Individual Practitioner Female Practitioner
Practice location in NPPES

259 Elm St, Suite 300b
Somerville, MA 021442950

Call 6172949109 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

259 Elm St
Suite 300b

Somerville, MA 021442950

Telephone 6172949109
Organization at the Same NPPES Address or Phone
Seaside Chiropractic Facility NPI 1730374273

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

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 Somerville and Massachusetts

22 active clinicians are listed under Acupuncturist with a practice address in Somerville, MA (1,283 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Somerville

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

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

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

License # reported to NPPES MA 253925

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.

Acupuncturist

NUCC Taxonomy Code: 171100000X

License # reported to NPPES NH 205

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.

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: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Logan Chaet , DPT

Physical Therapist

NPI 1235994807

Doctor of Physical Therapy

Dr. Helena Dehamer-Grant , DC

Chiropractor - Sports Physician

NPI 1992753388

Doctor of Chiropractic

Dr. Kaitlyn Lindsay , DPT

Physical Therapist

NPI 1114752896

Doctor of Physical Therapy

Dr. Edward Lockwood , DPT

Physical Therapist

NPI 1689924102

Doctor of Physical Therapy

Dr. Joseph Merullo , DPT

Physical Therapist

NPI 1851851505

Doctor of Physical Therapy

Dr. Madison Stabile , DPT

Physical Therapist

NPI 1780366054

Doctor of Physical Therapy

Career & Practice History Timeline

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

11 Historical Events
βœ…
NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 15, 2017

Registered at 259 ELM ST, SUITE 300B, SOMERVILLE, MA 021442950 (Tel: 6172949109)

πŸ“
Updated Business Mailing Address February 15, 2017

Registered at 259 ELM ST, SUITE 300B, SOMERVILLE, MA 021442950 (Tel: 6172949109)

πŸ‘€
Provider Name / Credentials Updated February 15, 2017

Recorded as FANNIE KOA, LIC.AC., DIPL.OM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Acupuncturist (license number reported to NPPES: NH 205)

βœ…
NPI Profile Active May 13, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 13, 2013

Registered at 733 TURNPIKE ST, JASMINE PLAZA, NORTH ANDOVER, MA 018456137 (Tel: 9782580427)

πŸ“
Business Mailing Address (Initial Record) May 13, 2013

Registered at 169 UNION ST, SUITE B, EVERETT, MA 021495335 (Tel: 6172949109)

πŸ‘€
Provider Name / Credentials (Initial Record) May 13, 2013

Recorded as FANNIE KOA, LIC.AC., DIPL.OM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2013

Acupuncturist (license number reported to NPPES: MA 253925)

🟒
Initial NPI Registration & Enumeration May 31, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588925077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2012
Last Update: February 15, 2017
Sole Proprietor: Yes

Mailing Address

259 Elm St, Suite 300b

Somerville, MA 021442950

Phone: 6172949109

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.