Active NPI
Jacquelin A Doyle, L.AC.
- Acupuncturist
- Philadelphia, PA
National Provider Identifier
1255490454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- KO000026L
- Practice address
- 1004 Pine Street
Philadelphia, PA 19107 - Phone
- (215) 985-1344
- Fax
- (215) 985-1434
- NPI assigned
- Dec 6, 2006
- 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 | KO000026L | PA | Primary |
Addresses
Primary practice location
1004 Pine Street
Philadelphia, PA 19107
Mailing address
1004 Pine Street
Philadelphia, PA 19107
Phone (215) 985-1344
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 |
|---|---|---|---|
| KO000026L | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1255490454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 PINE STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "215-985-1344",
"fax_number": "215-985-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 PINE STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "215-985-1344",
"fax_number": "215-985-1434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "JACQUELIN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "KO000026L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.