Individual provider Active NPI

Jennifer M Reilly, L.AC.

  • Acupuncturist
  • Auburn, CA
National Provider Identifier
1386974061
Registry record updated Jan 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC8161 Issued in CA
Practice address
11810 Industrial CT
Auburn, CA 95603-9584
Phone
(530) 888-0842
Fax
(530) 888-0872
NPI assigned
Jan 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC8161 CA Primary

Addresses

Primary practice location

11810 Industrial CT
Auburn, CA 95603-9584

Mailing address

11810 Industrial CT
Auburn, CA 95603-9584
Phone (530) 888-0842

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
AC8161CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Health Center Acupuncturist Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1262476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262476800000",
    "number": "1386974061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 INDUSTRIAL CT",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039584",
            "telephone_number": "530-888-0842",
            "fax_number": "530-888-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 INDUSTRIAL CT",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039584",
            "telephone_number": "530-888-0842",
            "fax_number": "530-888-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-03",
        "last_updated": "2010-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2010; 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.