Jeffrey Pufnock, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU-370 Issued in ID

Practice address

101 N 4TH Ave Ste 101B
Sandpoint, ID 83864-1359

Phone

(208) 254-1188

NPI assigned

Sep 3, 2019

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Embodied Virtue

  • Acupuncturist
  • Sandpoint, ID
  • NPI 1700434842
  NPD (past)

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1417505355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6162 EUREKA RD",
            "city": "SAGLE",
            "state": "ID",
            "postal_code": "838608837",
            "telephone_number": "208-254-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 4TH AVE STE 101B",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641359",
            "telephone_number": "208-254-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUFNOCK",
        "first_name": "JEFFREY",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "ACU-370",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Dawn Prins, OD
• Gregory Jon Anthony Prins, DMD
• Providence Health & Services (Providence Spokane Heart Institute-Sandpoint)
• Psychological Consultants, PC
• Steven C Puffer, M.D.
• Susan Mary Quinn Hurst, OTR/L, BCP
• Jonathan Quinn-Hurst, LMSW
• Kristine Maia Rae, PT
• Sarah Rains, PA-C
• Heather Randall, LMT

• Acupuncturist in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Acupuncturist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.