Active NPI
Jillian Alsup, LAC.
- Acupuncturist
- Austin, TX
National Provider Identifier
1114484045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01879
- Practice address
- 4131 Spicewood Springs Rd Ste I7
Austin, TX 78759-8659 - Phone
- (830) 708-3610
- NPI assigned
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01879 | TX | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd Ste I7
Austin, TX 78759-8659
Mailing address
11421 Hungry Horse Dr
Manor, TX 78653-4657
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC01879 | TX | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1114484045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11421 HUNGRY HORSE DR",
"city": "MANOR",
"state": "TX",
"postal_code": "786534657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD STE I7",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598659",
"telephone_number": "830-708-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSUP",
"first_name": "JILLIAN",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC01879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.