TINA MARIE BERISHA, L.Ac — NPI 1578814612 (Licensed & Credentialed Acupuncturist in DAVIDSON, NC)

CMS-1500 Box 24J / 33a • NPI

1578814612

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

171100000X

Licensed & Credentialed Acupuncturist

Box 32 Service Location & ZIP+4

560 DAVIDSON GATEWAY DR STE 200, DAVIDSON, NC, 28036-7042

✓ 9-Digit EDI 837 ZIP+4 (28036-7042)

Practice Phone & Referral Fax

(704) 896-0217

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1578814612 (TINA MARIE BERISHA, L.Ac) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1578814612` (NPI-1 Individual Practitioner)
Provider / Legal Name	TINA MARIE BERISHA, L.Ac
Plain-English Specialty	Licensed & Credentialed Acupuncturist NUCC Code: `171100000X` (Acupuncturist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	560 DAVIDSON GATEWAY DR STE 200, DAVIDSON, NC, 28036-7042
Practice Telephone / Fax	Tel: (704) 896-0217
Administrative Mailing Address	560 DAVIDSON GATEWAY DR STE 200, DAVIDSON, NC, 28036-7042
Enumeration & Last Sync	Enumerated: 2012-09-28 \| CMS Record Updated: 2023-04-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

560 DAVIDSON GATEWAY DR STE 200, DAVIDSON, NC, 28036-7042

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Plain-English Taxonomy & CMS Crosswalk (171100000X)

What Does Taxonomy Code 171100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171100000X translates to:
"Licensed & Credentialed Acupuncturist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Acupuncturist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TINA MARIE BERISHA, L.Ac)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171100000X` — Acupuncturist Plain English: Licensed & Credentialed Acupuncturist	State: NC \| License: `451` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TINA MARIE BERISHA, L.Ac (NPI #1578814612)