Individual provider Active NPI

Jennifer Lee Henry, L.AC.

  • Acupuncturist
  • Santa Barbara, CA
National Provider Identifier
1235337908
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8911 Issued in CA
Practice address
1815 State St Ste E
Santa Barbara, CA 93101-8408
Phone
(805) 708-0573
NPI assigned
Jul 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011553 CA
Acupuncturist 171100000X AC8911 CA Primary

Addresses

Primary practice location

1815 State St Ste E
Santa Barbara, CA 93101-8408

Mailing address

1461 Hosmer LN
Santa Barbara, CA 93108-1235
Phone (805) 708-0573

Other practice location 1

1926 De La Vina St
Santa Barbara, CA 93101-2817
Phone (805) 708-0573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC8911CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Riviera Health Group CurrentSince Mar 23, 2024 Accepting new patients

Locations

101 W Arrellaga St
Ste B
Santa Barbara, CA 93101
Phone (805) 568-0799

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1235337908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 HOSMER LN",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931081235",
            "telephone_number": "805-708-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 STATE ST STE E",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018408",
            "telephone_number": "805-708-0573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1926 De La Vina St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931012817",
            "country_code": "US",
            "telephone_number": "805-708-0573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011553",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.