Individual provider Active NPI

Jonathan Moss Schaeffer, L.AC.

  • Acupuncturist
  • Juneau, AK
National Provider Identifier
1184906059
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11 Issued in AK
Practice address
8800 Glacier Hwy
Suite 111
Juneau, AK 99801-8087
Phone
(907) 463-3051
Fax
(907) 463-3171
NPI assigned
Sep 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11 AK Primary

Addresses

Primary practice location

8800 Glacier Hwy
Suite 111
Juneau, AK 99801-8087

Mailing address

8800 Glacier Hwy
Suite 111
Juneau, AK 99801-8087
Phone (907) 463-3051

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
11AKMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1184906059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 GLACIER HWY",
            "address_2": "SUITE 111",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018087",
            "telephone_number": "907-463-3051",
            "fax_number": "907-463-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 GLACIER HWY",
            "address_2": "SUITE 111",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018087",
            "telephone_number": "907-463-3051",
            "fax_number": "907-463-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "JONATHAN",
        "middle_name": "MOSS",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.