Active NPI
Ying Jia, ACUPUNCTURIST
- Acupuncturist
- Bloomington, IN
National Provider Identifier
1003931643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 84000012A
- Practice address
- 1112 N College Ave
Bloomington, IN 47404-3552 - Phone
- (812) 336-6216
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 84000012A | IN | Primary |
Addresses
Primary practice location
1112 N College Ave
Bloomington, IN 47404-3552
Mailing address
1112 N College Ave
Bloomington, IN 47404-3552
Phone (812) 336-6216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84000012A | IN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003931643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 N COLLEGE AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043552",
"telephone_number": "812-336-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 N COLLEGE AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043552",
"telephone_number": "812-336-6216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIA",
"first_name": "YING",
"name_prefix": "Ms.",
"credential": "ACUPUNCTURIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IN",
"license": "84000012A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- 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.