Individual provider Active NPI

Jillian McElwee, L.AC

  • Acupuncturist
  • Wading River, NY
National Provider Identifier
1316300775
Registry record updated Apr 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005697 Issued in NY
Practice address
91 Sound Rd
Wading River, NY 11792-1031
Phone
(941) 539-2979
NPI assigned
Apr 3, 2016
Last updated
Apr 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005697 NY Primary
Massage Therapist 225700000X 019484 NY

Addresses

Primary practice location

91 Sound Rd
Wading River, NY 11792-1031

Mailing address

91 Sound Rd
Wading River, NY 11792-1031
Phone (941) 539-2979

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
005697NYMDMassage Therapist
019484NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459641600000",
    "number": "1316300775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SOUND RD",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921031",
            "telephone_number": "941-539-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SOUND RD",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921031",
            "telephone_number": "941-539-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELWEE",
        "first_name": "JILLIAN",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005697",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "019484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wading River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; 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.