Individual provider Active NPI

Jacob Lee, L.AC.

  • Acupuncturist
  • Raleigh, NC
National Provider Identifier
1104243260
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
378 Issued in NC
Practice address
827 N Bloodworth St Ste a
Raleigh, NC 27604-1231
Phone
(919) 283-8784
Fax
(855) 854-7098
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 378 NC Primary

Addresses

Primary practice location

827 N Bloodworth St Ste a
Raleigh, NC 27604-1231

Mailing address

827 N Bloodworth St Ste a
Raleigh, NC 27604-1231
Phone (919) 283-8784

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
378NCMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1104243260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N BLOODWORTH ST STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041231",
            "telephone_number": "919-283-8784",
            "fax_number": "855-854-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N BLOODWORTH ST STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041231",
            "telephone_number": "919-283-8784",
            "fax_number": "855-854-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JACOB",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NC",
            "license": "378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.