Individual provider Active NPI

Marisa P Donlin, LIC. AC.

  • Acupuncturist
  • Jamaica Plain, MA
National Provider Identifier
1265582381
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
226466 Issued in MA
Practice address
111 Green St Unit 201
Jamaica Plain, MA 02130-2258
Phone
(617) 899-2692
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 226466 MA Primary

Addresses

Primary practice location

111 Green St Unit 201
Jamaica Plain, MA 02130-2258

Mailing address

111 Green St Unit 201
Jamaica Plain, MA 02130-2258
Phone (617) 899-2692

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
226466MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1265582381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GREEN ST UNIT 201",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302258",
            "telephone_number": "617-899-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GREEN ST UNIT 201",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302258",
            "telephone_number": "617-899-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLIN",
        "first_name": "MARISA",
        "middle_name": "P",
        "credential": "LIC. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "226466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

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

Verify at the official NPI Registry.