Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184043572 Individual Practitioner Female Practitioner

Jacquelyn R Riddick , LAC

Acupuncturist • Kingston, NY

Professional Overview & Biography Verified Profile Summary

Jacquelyn Riddick, LAC is a registered healthcare professional specializing in Acupuncturist in Kingston, NY. Practice services are available at 394 HASBROUCK AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

394 Hasbrouck Ave.

Kingston, NY 12401

Telephone 8457504896
Associated Practice Facility / Clinic
🏢 Eagle Peak Wellness, Inc. Facility NPI 1396411690

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Kingston, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Kingston, NY (4031 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License NY 005208-1

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

State License NY 25 005208

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

State License NY 019298-1

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 13, 2023

Registered at 394 HASBROUCK AVE., KINGSTON, NY 12401 (Tel: 8457504896)

📍
Updated Business Mailing Address September 13, 2023

Registered at 394 HASBROUCK AVE #2C, KINGSTON, NY 12401 (Tel: 8457504896)

👤
Provider Name / Credentials Updated September 13, 2023

Recorded as JACQUELYN RIDDICK, LAC.

NPI Profile Active February 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2015

Registered at 101 HURLEY AVE, KINGSTON, NY 124012800 (Tel: 8457504896)

📍
Updated Business Mailing Address February 24, 2015

Registered at 329 S WALL ST, KINGSTON, NY 124015204 (Tel: 8457504896)

👤
Provider Name / Credentials Updated February 24, 2015

Recorded as JACQUELYN RIDDICK, LAC, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2015

Acupuncturist (License #25 005208 in NY)

🟢
Initial NPI Registration & Enumeration April 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184043572
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2014
Last Update: September 13, 2023
Sole Proprietor: Yes

Mailing Address

394 Hasbrouck Ave #2c

Kingston, NY 12401

Phone: 8457504896

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.