Individual provider Active NPI

Joan Mondress, L.AC, OTR/L

  • Acupuncturist
  • Chalfont, PA
National Provider Identifier
1477794568
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK000945 Issued in PA
Practice address
109 Brittany Dr
Chalfont, PA 18914-2303
Phone
(267) 308-0550
Fax
(267) 308-0550
NPI assigned
Mar 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK000945 PA Primary
Occupational Therapist 225X00000X OC000359L PA

Addresses

Primary practice location

109 Brittany Dr
Chalfont, PA 18914-2303

Mailing address

109 Brittany Dr
Chalfont, PA 18914-2303
Phone (267) 308-0550

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
AK000945PAMDAcupuncturist
OC000359LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1477794568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRITTANY DR",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142303",
            "telephone_number": "267-308-0550",
            "fax_number": "267-308-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BRITTANY DR",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142303",
            "telephone_number": "267-308-0550",
            "fax_number": "267-308-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDRESS",
        "first_name": "JOAN",
        "credential": "L.AC, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000945",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC000359L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.