Individual provider Active NPI

Jillian Rebecca Rifkind, EAMP

  • Acupuncturist
  • Port Ludlow, WA
National Provider Identifier
1447496955
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
60414217 Issued in WA
Practice address
9481 Oak Bay Rd
Port Ludlow, WA 98365-9801
Phone
(661) 478-8250
Fax
(206) 238-8145
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 60414217 WA Primary

Addresses

Primary practice location

9481 Oak Bay Rd
Port Ludlow, WA 98365-9801

Mailing address

PO Box 65004
Port Ludlow, WA 98365-0004
Phone (661) 478-8250

Other identifiers 1

IdentifierTypeStateIssuer
XDP154A23407OtherCAANTHEM BLUE CROSS

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
60414217WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Point Acupuncture CurrentSince Jan 24, 2021 Accepting new patients

Locations

9481 Oak Bay Rd
Ste H
Port Ludlow, WA 98365

9481 Oak Bay Rd
Port Ludlow, WA 98365
Phone (360) 379-2254

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

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1447496955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65004",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983650004",
            "telephone_number": "661-478-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9481 OAK BAY RD",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659801",
            "telephone_number": "661-478-8250",
            "fax_number": "206-238-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFKIND",
        "first_name": "JILLIAN",
        "middle_name": "REBECCA",
        "name_prefix": "Miss",
        "credential": "EAMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60414217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "XDP154A23407",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Ludlow, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.