Individual provider Active NPI

Therese L Bissonnette, LIC. AC.

  • Acupuncturist
  • North Easton, MA
National Provider Identifier
1306019294
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
223376 Issued in MA
Practice address
105 Washington St
North Easton, MA 02356-1100
Phone
(508) 238-5888
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 223376 MA Primary

Addresses

Primary practice location

105 Washington St
North Easton, MA 02356-1100

Mailing address

237H Stony Fort Rd
West Kingston, RI 02892-1200
Phone (508) 238-5888

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
223376MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1306019294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237H STONY FORT RD",
            "city": "WEST KINGSTON",
            "state": "RI",
            "postal_code": "028921200",
            "telephone_number": "508-238-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WASHINGTON ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561100",
            "telephone_number": "508-238-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSONNETTE",
        "first_name": "THERESE",
        "middle_name": "L",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "223376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.