Individual provider Active NPI

Jennifer Meta Crane, L.AC.

  • Acupuncturist
  • Shelter Island, NY
National Provider Identifier
1437508959
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005740 Issued in NY
Practice address
46 Lake Dr
Shelter Island, NY 11964
Phone
(310) 490-3631
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005740 NY Primary

Addresses

Primary practice location

46 Lake Dr
Shelter Island, NY 11964

Mailing address

6405 Green Valley Cir
Unit 201
Culver City, CA 90230-7041
Phone (310) 490-3631

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
005740NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Crane Holistic Inc Acupuncturist CurrentSince Sep 5, 2023 Accepting new patients

Locations

785 Broadway
Ste 3
Kingston, NY 12401
Phone (845) 249-6350

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1437508959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 GREEN VALLEY CIR",
            "address_2": "UNIT 201",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307041",
            "telephone_number": "310-490-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 LAKE DR",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "11964",
            "telephone_number": "310-490-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "JENNIFER",
        "middle_name": "META",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelter Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.