NPIMap

Individual provider Active NPI

Cheryl Fraser Bacon, MA.AC., LIC.AC.

  • Acupuncturist
  • Norwell, MA
National Provider Identifier
1295857597
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
609 Issued in MA
Practice address
6 Grove St.
# 103
Norwell, MA 02061-1534
Phone
(781) 878-2667
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 609 MA Primary

Addresses

Primary practice location

6 Grove St.
# 103
Norwell, MA 02061-1534

Mailing address

6 Grove St.
# 103
Norwell, MA 02061-1534
Phone (781) 878-2667

Other names 1

  • Miss Cheryl Ann Fraser Former name

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
609MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295857597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GROVE ST.",
            "address_2": "# 103",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611534",
            "telephone_number": "781-878-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GROVE ST.",
            "address_2": "# 103",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611534",
            "telephone_number": "781-878-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "CHERYL",
        "middle_name": "FRASER",
        "name_prefix": "Mrs.",
        "credential": "MA.AC., LIC.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "FRASER",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MA.AC.,LIC.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.