Jana Lee Gattung, LIC ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU-29 Issued in ID

Practice address

806 Main St
Salmon, ID 83467-4315

Phone

(208) 940-0902

NPI assigned

Feb 4, 2019

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

Other identifiers 1

Other names 1

• Jana Lee Gattung-Noonan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1194280271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LOIS LN",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834675326",
            "telephone_number": "208-940-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 MAIN ST",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674315",
            "telephone_number": "208-940-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTUNG",
        "first_name": "JANA",
        "middle_name": "LEE",
        "credential": "LIC ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-29",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO LICENSE NUMBER",
            "identifier": "ACU-29",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "GATTUNG-NOONAN",
            "middle_name": "LEE",
            "credential": "LIC ACUPUNCTURIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Acupuncturist in Salmon, ID
• Providers in Salmon, ID by specialty
• Acupuncturist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.