Individual provider Active NPI

Elizabeth Mary Ciolino, LIC.AC, LMT, PTA

  • Acupuncturist
  • Gloucester, MA
National Provider Identifier
1053595124
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
221047 Issued in MA
Practice address
49 Blackburn Drive
Gloucester, MA 01930
Phone
(978) 395-1639
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 221047 MA Primary

Addresses

Primary practice location

49 Blackburn Drive
Gloucester, MA 01930

Mailing address

64R Eastern Point Road
Unit a
Gloucester, MA 01930-4133
Phone (978) 282-3295

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

LicenseStateTypeSpecialty
221047MAMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1053595124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64R EASTERN POINT ROAD",
            "address_2": "UNIT A",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304133",
            "telephone_number": "978-282-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BLACKBURN DRIVE",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "01930",
            "telephone_number": "978-395-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOLINO",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LIC.AC, LMT, PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "221047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.

Verify at the official NPI Registry.