Active NPI
Roseli De Fatima Schimanski, LIC.AC.
- Acupuncturist
- Watertown, MA
National Provider Identifier
1013405471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 276639
- Practice address
- 25 Church St
Watertown, MA 02472-3855 - Phone
- (617) 926-6986
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 276639 | MA | Primary |
Addresses
Primary practice location
25 Church St
Watertown, MA 02472-3855
Mailing address
10 Clark St # 3
Somerville, MA 02143-3920
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 |
|---|---|---|---|
| 276639 | MA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1013405471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CLARK ST # 3",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021433920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CHURCH ST",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723855",
"telephone_number": "617-926-6986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMANSKI",
"first_name": "ROSELI",
"middle_name": "DE FATIMA",
"credential": "LIC.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "276639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.