Active NPI
Jennifer L Sandoval, LAC.
- Acupuncturist
- Tucson, AZ
National Provider Identifier
1144514118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0482
- Practice address
- 2550 E Fort Lowell Rd
Ste B
Tucson, AZ 85716-1514 - Phone
- (520) 205-0215
- NPI assigned
- Jun 7, 2011
- 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 | 0482 | AZ | Primary |
Addresses
Primary practice location
2550 E Fort Lowell Rd
Ste B
Tucson, AZ 85716-1514
Mailing address
2550 E Fort Lowell Rd
Ste B
Tucson, AZ 85716-1514
Phone (520) 205-0215
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 |
|---|---|---|---|
| 0482 | AZ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1144514118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 E FORT LOWELL RD",
"address_2": "STE B",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857161514",
"telephone_number": "520-205-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 E FORT LOWELL RD",
"address_2": "STE B",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857161514",
"telephone_number": "520-205-0215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "0482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.