Active NPI
Jessica Depete, R.AC.
- Acupuncturist
- Stroudsburg, PA
National Provider Identifier
1225233638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- KO000566
- Practice address
- 310 N 7TH St
Stroudsburg, PA 18360-2202 - Phone
- (570) 801-1369
- NPI assigned
- Jun 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | KO000566 | PA | Primary |
Addresses
Primary practice location
310 N 7TH St
Stroudsburg, PA 18360-2202
Mailing address
310 N 7TH St
Stroudsburg, PA 18360-2202
Phone (570) 801-1369
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
| License | State | Type | Specialty |
|---|---|---|---|
| KO000566 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225233638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N 7TH ST",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183602202",
"telephone_number": "570-801-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N 7TH ST",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "183602202",
"telephone_number": "570-801-1369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPETE",
"first_name": "JESSICA",
"credential": "R.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "KO000566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
- Eugenie De Ocejo, MD
- Sulagna De, M.D.
- Kimberly C Deboer, PSY. D.
- Meridith Deiter, MS LBS BCBA
- Rebecca Hope Deltoro, LCSW
- Destiny Empowerment House and Groups LLC
- Destiny Empowerment House and Groups LLC
- Developmental Education Services of Monroe County Inc
- Anthony S Diecidue, O.D.
- Sally E Diecidue, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.