Active NPI
Sandra Guillow, M.A.C., LIC.AC.
- Acupuncturist
- Oakdale, CT
National Provider Identifier
1235285115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000319
- Practice address
- 10 Birch Ter
Oakdale, CT 06370-1705 - Phone
- (860) 303-3717
- Fax
- (860) 444-7917
- NPI assigned
- Jan 25, 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 | 000319 | CT | Primary |
Addresses
Primary practice location
10 Birch Ter
Oakdale, CT 06370-1705
Mailing address
10 Birch Ter
Oakdale, CT 06370-1705
Phone (860) 303-3717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061533801 | Other | CT | LANDMARK HEALTHCARE ID |
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 |
|---|---|---|---|
| 000319 | CT | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1235285115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BIRCH TER",
"city": "OAKDALE",
"state": "CT",
"postal_code": "063701705",
"telephone_number": "860-303-3717",
"fax_number": "860-444-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BIRCH TER",
"city": "OAKDALE",
"state": "CT",
"postal_code": "063701705",
"telephone_number": "860-303-3717",
"fax_number": "860-444-7917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLOW",
"first_name": "SANDRA",
"name_prefix": "Ms.",
"credential": "M.A.C., LIC.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "000319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LANDMARK HEALTHCARE ID",
"identifier": "061533801",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakdale, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.