Anais Karel Jackson-Gonzalez

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

171357 Issued in IL

Practice address

2018 S. Michigan Ave.
Chicago, IL 60616

Phone

(312) 753-3249

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• L&a Healing Studio

  • Acupuncturist
  • Chicago, IL
  • NPI 1831634021
  NPD (past)
• Stephanie Madden LLC

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1730701350
  NPD (past)

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1386286144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 CHAPPEL CT APT 103",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601394804",
            "telephone_number": "312-358-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 S. MICHIGAN AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "312-753-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-GONZALEZ",
        "first_name": "ANAIS",
        "middle_name": "KAREL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "171357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Park Hospital Foundation
• Jackson Park Hospital Foundation
• Jackson Park SLF, LLC
• Jackson Park Suppotive Living
• Jackson Square Skilled Nursing Aand Living
• Kathryn Carly Jackson-Griffin, MA, NCC
• Jennifer L Jackson-Laurent, M.A. CCC-SLP
• Jameera Jahaan Jackson-Reyes, LPC
• Lakecia Jackson-Rooks, OTRL, D.T.
• Abbigail Jackson

• All providers in Chicago, IL
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.