Active NPI
Chien Yuan Ly, L.A.C.
- Acupuncturist
- Jackson, TN
National Provider Identifier
1023739653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU0000000055
- Practice address
- 40 Old Hickory Cove
Jackson, TN 38305 - Phone
- (731) 668-7998
- Fax
- (731) 668-3401
- NPI assigned
- Sep 12, 2022
- Sex
- Male
- 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 | ACU0000000055 | TN | Primary |
Addresses
Primary practice location
40 Old Hickory Cove
Jackson, TN 38305
Mailing address
40 Old Hickory Cove
Jackson, TN 38305
Phone (731) 668-7998
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 |
|---|---|---|---|
| ACU0000000055 | TN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1023739653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 OLD HICKORY COVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "38305",
"telephone_number": "731-668-7998",
"fax_number": "731-668-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 OLD HICKORY COVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "38305",
"telephone_number": "731-668-7998",
"fax_number": "731-668-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "CHIEN",
"middle_name": "YUAN",
"name_prefix": "Mr.",
"credential": "L.A.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TN",
"license": "ACU0000000055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.