Active NPI
Ginger Sullivan, L. AC
- Acupuncturist
- Penn Yan, NY
National Provider Identifier
1023269990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 003931
- Practice address
- 20 Maiden Lane
Penn Yan, NY 14527-9317 - Phone
- (315) 368-0478
- NPI assigned
- Oct 8, 2008
- 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 | 003931 | NY | Primary |
Addresses
Primary practice location
20 Maiden Lane
Penn Yan, NY 14527-9317
Mailing address
PO Box 164
Keuka Park, NY 14478
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 |
|---|---|---|---|
| 003931 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1023269990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 164",
"city": "KEUKA PARK",
"state": "NY",
"postal_code": "14478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MAIDEN LANE",
"city": "PENN YAN",
"state": "NY",
"postal_code": "145279317",
"telephone_number": "315-368-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "GINGER",
"credential": "L. AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penn Yan, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.