Individual provider Active NPI

Jane Hawman, LAC

  • Acupuncturist
  • Riverside, CT
National Provider Identifier
1164685178
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000455 Issued in CT
Practice address
1171 E Putnam Ave
BLD 2
Riverside, CT 06878-1426
Phone
(203) 637-1111
NPI assigned
Jul 9, 2008
Last updated
Feb 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 003812 NY
Acupuncturist 171100000X 000455 CT Primary

Addresses

Primary practice location

1171 E Putnam Ave
BLD 2
Riverside, CT 06878-1426

Mailing address

1171 E Putnam Ave
BLD 2
Riverside, CT 06878-1426
Phone (203) 637-1111

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
000455CTMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1164685178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 E PUTNAM AVE",
            "address_2": "BLD 2",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781426",
            "telephone_number": "203-637-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 E PUTNAM AVE",
            "address_2": "BLD 2",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781426",
            "telephone_number": "203-637-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWMAN",
        "first_name": "JANE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003812",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.