Individual provider Active NPI

Roselle McNeilly, LAC

  • Acupuncturist
  • Oakland, CA
National Provider Identifier
1245518828
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11893 Issued in CA
Practice address
3576 Laurel Ave
Oakland, CA 94602-3841
Phone
(510) 842-6350
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11893 CA Primary

Addresses

Primary practice location

3576 Laurel Ave
Oakland, CA 94602-3841

Mailing address

3576 Laurel Ave
Oakland, CA 94602-3841
Phone (510) 842-6350

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
AC11893CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Acupuncture Project, Inc. Past Accepting new patients

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": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1245518828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3576 LAUREL AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023841",
            "telephone_number": "510-842-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3576 LAUREL AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023841",
            "telephone_number": "510-842-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILLY",
        "first_name": "ROSELLE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.