Individual provider Active NPI

Kearney Defillipo, L.AC

  • Acupuncturist
  • Jenkintown, PA
National Provider Identifier
1265986632
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK001174 Issued in PA
Practice address
321 York Rd Ste 210
Jenkintown, PA 19046-3262
Phone
(215) 259-8180
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK001174 PA Primary

Addresses

Primary practice location

321 York Rd Ste 210
Jenkintown, PA 19046-3262

Mailing address

931 Washington LN
Jenkintown, PA 19046-1706

Other practice location 1

7848 Old York Rd Ste 200C
Elkins Park, PA 19027-2541
Phone (215) 867-0114

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
AK001174PAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Panda Acupuncture LLC Acupuncturist CurrentSince Apr 20, 2021 Accepting new patients

Locations

7848 Old York Rd
Ste 200C
Elkins Park, PA 19027
Phone (215) 867-0114

321 York Rd
Ste 210
Jenkintown, PA 19046
Phone (215) 259-8180

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1265986632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 WASHINGTON LN",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 YORK RD STE 210",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463262",
            "telephone_number": "215-259-8180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7848 Old York Rd Ste 200C",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190272541",
            "country_code": "US",
            "telephone_number": "215-867-0114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFILLIPO",
        "first_name": "KEARNEY",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.