Active NPI
Jenise Charlene Parris, L.AC. M.T.O.M.
- Acupuncturist
- New York, NY
National Provider Identifier
1043584345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002647
- Practice address
- 110 W 96TH St
Suite 14 B
New York, NY 10025-6413 - Phone
- (646) 320-8806
- NPI assigned
- Mar 4, 2012
- 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 | 002647 | NY | Primary |
Addresses
Primary practice location
110 W 96TH St
Suite 14 B
New York, NY 10025-6413
Mailing address
110 W 96TH St
Suite 14 B
New York, NY 10025-6413
Phone (646) 320-8806
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 |
|---|---|---|---|
| 002647 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330819200000",
"number": "1043584345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W 96TH ST",
"address_2": "SUITE 14 B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256413",
"telephone_number": "646-320-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 96TH ST",
"address_2": "SUITE 14 B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256413",
"telephone_number": "646-320-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRIS",
"first_name": "JENISE",
"middle_name": "CHARLENE",
"credential": "L.AC. M.T.O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-04",
"last_updated": "2012-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.