Individual provider Active NPI

Audrey Jardin, L.AC.

  • Acupuncturist
  • New York, NY
National Provider Identifier
1457686651
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
003756 Issued in NY
Practice address
119 W 23Rd St Ste 1000
New York, NY 10011-6341
Phone
(917) 213-7044
NPI assigned
Oct 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 003756 NY Primary

Addresses

Primary practice location

119 W 23Rd St Ste 1000
New York, NY 10011-6341

Mailing address

119 W 23Rd St Ste 1000
New York, NY 10011-6341
Phone (917) 213-7044

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

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1457686651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 23RD ST STE 1000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116341",
            "telephone_number": "917-213-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 23RD ST STE 1000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116341",
            "telephone_number": "917-213-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDIN",
        "first_name": "AUDREY",
        "name_prefix": "Miss",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.