Active NPI
Jacqueline Fusari, LAC
- Acupuncturist
- Avon, CT
National Provider Identifier
1447946348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 822
- Practice address
- 124 Simsbury Rd
Avon, CT 06001-3743 - Phone
- (971) 777-5331
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 822 | CT | Primary |
Addresses
Primary practice location
124 Simsbury Rd
Avon, CT 06001-3743
Mailing address
124 Simsbury Rd # 1-J
Avon, CT 06001-3743
Phone (971) 777-5331
Other practice location 1
10 Forest Part Drive
Suite 10-2-LF, 2nd Floor
Farmington, CT 06032
Phone (860) 404-2197
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 |
|---|---|---|---|
| 822 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1447946348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SIMSBURY RD # 1-J",
"city": "AVON",
"state": "CT",
"postal_code": "060013743",
"telephone_number": "971-777-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 SIMSBURY RD",
"city": "AVON",
"state": "CT",
"postal_code": "060013743",
"telephone_number": "971-777-5331"
}
],
"practiceLocations": [
{
"address_1": "10 Forest Part Drive",
"address_2": "Suite 10-2-LF, 2nd Floor",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "06032",
"country_code": "US",
"telephone_number": "860-404-2197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUSARI",
"first_name": "JACQUELINE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CT",
"license": "822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.