Individual provider Active NPI

Kristina Heather Jarrett, L.AC.

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1083081970
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 16235 Issued in CA
Practice address
3547 Camino del Rio S Ste C
San Diego, CA 92108-4024
Phone
(619) 287-4005
Fax
(619) 287-1135
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 16235 CA Primary

Addresses

Primary practice location

3547 Camino del Rio S Ste C
San Diego, CA 92108-4024

Mailing address

3547 Camino del Rio S Ste C
San Diego, CA 92108-4024
Phone (619) 287-4005

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
AC 16235CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mancini Acupuncture Acupuncturist PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1083081970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 CAMINO DEL RIO S STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084024",
            "telephone_number": "619-287-4005",
            "fax_number": "619-287-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3547 CAMINO DEL RIO S STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084024",
            "telephone_number": "619-287-4005",
            "fax_number": "619-287-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "KRISTINA",
        "middle_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 16235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.