Individual provider Active NPI

Jessica Patterson, L.AC

  • Acupuncturist
  • Longmont, CO
National Provider Identifier
1104411214
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.0002639 Issued in CO
Practice address
805 Bowen St Apt 3
Longmont, CO 80501-4449
Phone
(858) 449-3144
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU.0002639 CO Primary

Addresses

Primary practice location

805 Bowen St Apt 3
Longmont, CO 80501-4449

Mailing address

805 Bowen St Apt 3
Longmont, CO 80501-4449
Phone (858) 449-3144

Other practice location 1

209 Main St Unit E
Mead, CO 80542-5042
Phone (858) 449-3144

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
ACU.0002639COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1104411214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BOWEN ST APT 3",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014449",
            "telephone_number": "858-449-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BOWEN ST APT 3",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805014449",
            "telephone_number": "858-449-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Main St Unit E",
            "address_purpose": "LOCATION",
            "city": "Mead",
            "state": "CO",
            "postal_code": "805425042",
            "country_code": "US",
            "telephone_number": "858-449-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JESSICA",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0002639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.