Individual provider Active NPI

Janis Robin Woronoff, LAC DIPLOMATE AC NCC

  • Acupuncturist
  • Hedgesville, WV
National Provider Identifier
1104038710
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
96146 Issued in WV
Practice address
2823 Swinging Bridge Rd
Hedgesville, WV 25427
Phone
(304) 754-9207
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 96146 WV Primary
Acupuncturist 171100000X U01040 MD

Addresses

Primary practice location

2823 Swinging Bridge Rd
Hedgesville, WV 25427

Mailing address

2823 Swinging Bridge Rd
Hedgesville, WV 25427
Phone (304) 754-9207

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
U01040MDMDAcupuncturist
96146WVMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104038710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 SWINGING BRIDGE RD",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "25427",
            "telephone_number": "304-754-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 SWINGING BRIDGE RD",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "25427",
            "telephone_number": "304-754-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORONOFF",
        "first_name": "JANIS",
        "middle_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "LAC DIPLOMATE AC NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WV",
            "license": "96146",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hedgesville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.