Individual provider Active NPI

Jerrod Ryan Fletcher, A.P.

  • Acupuncturist
  • Gainesville, FL
National Provider Identifier
1154586139
Registry record updated Nov 5, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2555 Issued in FL
Practice address
4509 NW 23Rd Ave
Suite 19-B
Gainesville, FL 32606-6570
Phone
(352) 281-8989
Fax
(352) 371-2867
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 2555 FL Primary

Addresses

Primary practice location

4509 NW 23Rd Ave
Suite 19-B
Gainesville, FL 32606-6570

Mailing address

9928 NW 226TH St
Alachua, FL 32615-7843
Phone (352) 281-8989

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
AP 2555FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1154586139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9928 NW 226TH ST",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326157843",
            "telephone_number": "352-281-8989",
            "fax_number": "352-371-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 NW 23RD AVE",
            "address_2": "SUITE 19-B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066570",
            "telephone_number": "352-281-8989",
            "fax_number": "352-371-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JERROD",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.