Individual provider Active NPI

Rebecca A Sasak, L.AC.

  • Acupuncturist
  • Chesterton, IN
National Provider Identifier
1366735458
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
84000109A Issued in IN
Practice address
368 Indian Boundary Rd
Chesterton, IN 46304-1511
Phone
(219) 728-1891
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 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 84000109A IN Primary

Addresses

Primary practice location

368 Indian Boundary Rd
Chesterton, IN 46304-1511

Mailing address

368 Indian Boundary Rd
Chesterton, IN 46304-1511
Phone (219) 728-1891

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
84000109AINMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1366735458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 INDIAN BOUNDARY RD",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041511",
            "telephone_number": "219-728-1891",
            "fax_number": "219-427-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 INDIAN BOUNDARY RD",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041511",
            "telephone_number": "219-728-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASAK",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000109A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

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