Active NPI
Shirley Nichols Siebert, L.AC.
- Acupuncturist
- San Mateo, CA
National Provider Identifier
1396076840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC4159
- Practice address
- 137 N San Mateo Dr
San Mateo, CA 94401-2708 - Phone
- (650) 342-1998
- NPI assigned
- Jan 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC4159 | CA | Primary |
Addresses
Primary practice location
137 N San Mateo Dr
San Mateo, CA 94401-2708
Mailing address
137 N San Mateo Dr
San Mateo, CA 94401-2708
Phone (650) 342-1998
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC4159 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1396076840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 N SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012708",
"telephone_number": "650-342-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 N SAN MATEO DR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012708",
"telephone_number": "650-342-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEBERT",
"first_name": "SHIRLEY",
"middle_name": "NICHOLS",
"name_prefix": "Mrs.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC4159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.