Individual provider Active NPI

Andrea Lee Jeffres, ANNE JEFFRES

  • Acupuncturist
  • Brooklyn, NY
National Provider Identifier
1477674273
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000211 Issued in WA
Practice address
689 Myrtle Ave Apt 4H
Brooklyn, NY 11205-3986
Phone
(425) 451-7972
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00000211 WA Primary

Addresses

Primary practice location

689 Myrtle Ave Apt 4H
Brooklyn, NY 11205-3986

Mailing address

689 Myrtle Ave Apt 4H
Brooklyn, NY 11205-3986
Phone (425) 451-7972

Other names 1

  • Dr. Anne Jeffres Professional name

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
AC00000211WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477674273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 MYRTLE AVE APT 4H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053986",
            "telephone_number": "425-451-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 MYRTLE AVE APT 4H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053986",
            "telephone_number": "425-451-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRES",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "ANNE JEFFRES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "JEFFRES",
            "prefix": "DR.",
            "credential": "ANNE JEFFRES, DAOM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.