Jennifer Lee Dubicki, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

CT744 Issued in CT

Practice address

212 New London Turnpike Suite D
Glastonbury, CT 06033

Phone

(860) 430-2342

NPI assigned

Nov 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Vitalized Performance Group

  • Acupuncturist
  • Glastonbury, CT
  • NPI 1467180299
  NPD (past)

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1427201540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NEW LONDON TURNPIKE SUITE D",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-430-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NEW LONDON TURNPIKE SUITE D",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-430-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBICKI",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2474",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "CT744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dpmdeckerprct LLC
• Dpmdeckerprct, LLC
• Dr. Beth Giurelli Psy.D. LLC
• Martha Elizabeth Drummond, M.ED. CCC-A
• Kathryn Mary Dube
• Elaine Linda Ducharme, PH.D
• Alex G. Dukas, M.D.
• Roxanne Dunwoody, PT, CHT
• Sheila Renee Dupuis, PSY.D.
• Timothy Lindsay Durant, MSPT

• Acupuncturist in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Acupuncturist in Connecticut

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