Active NPI
Jean Vesta Kneebone, MAC LIC AC
- Acupuncturist
- Aberdeen, MD
National Provider Identifier
1437207032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U0506
- Practice address
- 11 North Parke Street
Aberdeen, MD 21001 - Phone
- (877) 272-5553
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | U0506 | MD | Primary |
Addresses
Primary practice location
11 North Parke Street
Aberdeen, MD 21001
Mailing address
11508 Sherwood Rd
Upper Falls, MD 21156
Phone (410) 592-2154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BG94 | Other | MD | BLUE CROSS AND BLUE SHIEL |
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 |
|---|---|---|---|
| U0506 | MD | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437207032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11508 SHERWOOD RD",
"city": "UPPER FALLS",
"state": "MD",
"postal_code": "21156",
"telephone_number": "410-592-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NORTH PARKE STREET",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "21001",
"telephone_number": "877-272-5553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEEBONE",
"first_name": "JEAN",
"middle_name": "VESTA",
"name_prefix": "Ms.",
"credential": "MAC LIC AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U0506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "BG94",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.