Active NPI
Jennifer Evans, LIC, AC. MA.
- Acupuncturist
- Cambridge, MA
National Provider Identifier
1285802298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 382
- Practice address
- 1776 Massachusetts Ave Ste 2B
Cambridge, MA 02140-2852 - Phone
- (617) 960-6699
- NPI assigned
- Feb 12, 2008
- 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 | 382 | MA | Primary |
Addresses
Primary practice location
1776 Massachusetts Ave Ste 2B
Cambridge, MA 02140-2852
Mailing address
1776 Massachusetts Ave Ste 2B
Cambridge, MA 02140-2852
Phone (617) 960-6699
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 |
|---|---|---|---|
| 382 | MA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1285802298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 MASSACHUSETTS AVE STE 2B",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402852",
"telephone_number": "617-960-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 MASSACHUSETTS AVE STE 2B",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402852",
"telephone_number": "617-960-6699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "LIC, AC. MA.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MA",
"license": "382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.