Jade Lotus Acupuncture and Oriental Medicine

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

JADE LOTUS ACUPUNCTURE AND ORIENTAL MEDICINE

Practice address

12273 US Highway 98 W Ste 120
Miramar Beach, FL 32550-6945

Phone

(850) 368-1685

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Jared Patrick Glenn, AP, LMTNPI 1841888963

Title

Acupuncture Physician

Phone

(850) 368-7872

Specialties & licenses 1

Addresses

Other names 1

• jade lotus Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Patrick Glenn, AP

  • Acupuncturist
  • Miramar Beach, FL
  • NPI 1841888963
  NPD Authorized official

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1457964280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 SCENIC GULF DR UNIT 5",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506953",
            "telephone_number": "850-368-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12273 US HIGHWAY 98 W STE 120",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506945",
            "telephone_number": "850-368-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE LOTUS ACUPUNCTURE AND ORIENTAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "850-368-7872",
        "authorized_official_credential": "AP, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jade lotus Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rylee Holland, PA-C
• Neal T Holm, M.D.
• Laura Lynn Howell, OTR/L
• Cassady L Hughes, BCBA
• Jacquelyn E Puglia MD, PA
• Jessica Sophia Janneck-Kowalewski, MD
• Jason E Baker DDS LLC
• Ronda Jenkins-Clark, MSN, FNP-C
• Eric K Jenkins, APRN
• Rachael Jett

• Acupuncturist in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.