Individual provider Active NPI

Jennifer Lynne Newman, AP

  • Acupuncturist
  • Coconut Creek, FL
National Provider Identifier
1497065023
Registry record updated Oct 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2870 Issued in FL
Practice address
4651 N State Road 7 Ste 9
Coconut Creek, FL 33073-4378
Phone
(954) 255-9355
Fax
(954) 255-7990
NPI assigned
Oct 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP2870 FL Primary

Addresses

Primary practice location

4651 N State Road 7 Ste 9
Coconut Creek, FL 33073-4378

Mailing address

4651 N State Road 7 Ste 9
Coconut Creek, FL 33073-4378
Phone (954) 255-9355

Other identifiers 1

IdentifierTypeStateIssuer
AP 2870OtherFLLICENSED ACUPUNCTURIST

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
AP2870FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1287273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287273600000",
    "number": "1497065023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 N STATE ROAD 7 STE 9",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734378",
            "telephone_number": "954-255-9355",
            "fax_number": "954-255-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 N STATE ROAD 7 STE 9",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734378",
            "telephone_number": "954-255-9355",
            "fax_number": "954-255-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-17",
        "last_updated": "2010-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ACUPUNCTURIST",
            "identifier": "AP 2870",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2010; 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.