Individual provider Active NPI

Joann Fedner, L.AC.

  • Acupuncturist
  • Dix Hills, NY
National Provider Identifier
1205162427
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004128 Issued in NY
Practice address
16 Lone Hill PL
Dix Hills, NY 11746-5911
Phone
(516) 551-1642
Fax
(631) 424-0287
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 004128 NY Primary

Addresses

Primary practice location

16 Lone Hill PL
Dix Hills, NY 11746-5911

Mailing address

16 Lone Hill PL
Dix Hills, NY 11746-5911
Phone (516) 551-1642

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

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1205162427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LONE HILL PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465911",
            "telephone_number": "516-551-1642",
            "fax_number": "631-424-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LONE HILL PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465911",
            "telephone_number": "516-551-1642",
            "fax_number": "631-424-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDNER",
        "first_name": "JOANN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.