Jennifer Marie Antoine, DACM, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19113 Issued in CA

Practice address

15708 Pomerado Rd Ste N-203
Poway, CA 92064-2066

Phone

(843) 597-1139

NPI assigned

May 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1154904589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD STE N-203",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "843-597-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15708 POMERADO RD STE N-203",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642066",
            "telephone_number": "843-597-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOINE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "DACM, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Elizabeth Andersen, M.D.
• Jackie Anderson
• Kathy Anderson, LMFT
• Monica Andrawes, PHARMD
• Sandra Colleen Angell, PTA
• Anu Rajasekaran, DMD.PC.
• Aleksandra Anufrieva
• Mayra Heidi Aparicio Reyes, LCSW
• Erol S Apaydin, D.D.S., M.S.
• George Hovannes Apkarian, MFT

• All providers in Poway, CA
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.