Individual provider Active NPI

Jill Marie Schimmelpfennig, LAC, MSOM

  • Acupuncturist
  • Bloomington, IN
National Provider Identifier
1235602855
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
84000146A Issued in IN
Practice address
357 S Landmark Ave Ste B
Bloomington, IN 47403-5002
Phone
(812) 334-5815
Fax
(812) 339-8352
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 84000146A IN Primary

Addresses

Primary practice location

357 S Landmark Ave Ste B
Bloomington, IN 47403-5002

Mailing address

1004 S Dunn St
Bloomington, IN 47401-5928
Phone (812) 320-3032

Other practice location 1

1713 N College Ave
Bloomington, IN 47404-2478
Phone (812) 337-3529

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

LicenseStateTypeSpecialty
84000146AINMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1235602855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S DUNN ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015928",
            "telephone_number": "812-320-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 S LANDMARK AVE STE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474035002",
            "telephone_number": "812-334-5815",
            "fax_number": "812-339-8352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1713 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474042478",
            "country_code": "US",
            "telephone_number": "812-337-3529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHIMMELPFENNIG",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LAC, MSOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000146A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.