Allison Jacob, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

115920 Issued in VT

Practice address

87 S Main St Ste 1
Waterbury, VT 05676-1610

Phone

(802) 560-5499

NPI assigned

Nov 19, 2015

Last updated

Feb 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earth Sea Acupuncture LLC

  • Acupuncturist
  • Waterbury, VT
  • NPI 1164189494
  NPD Authorized official

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1497129001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 S MAIN ST STE 1",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761610",
            "telephone_number": "802-560-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 S MAIN ST STE 1",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761610",
            "telephone_number": "802-560-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "ALLISON",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "174201",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "091.0115920",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VT",
            "license": "115920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allison@earthseaacupuncture.com",
            "affiliation": "N",
            "endpointDescription": "Direct Mail Address",
            "address_1": "87 S Main St Ste 1",
            "city": "Waterbury",
            "state": "VT",
            "country_code": "US",
            "postal_code": "056761610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine Hirce
• Tyler Hoare
• Alison B Hobart, APRN
• Nicholas Ireland
• Peter James Ireland, MD
• Yougyeoung Jho
• Brittany Johnson, PHARMD
• Charlie-Mae Johnson, LICSW
• Justin Karlitz-Grodin, M.D.
• Kamala Jean Kelton, LCMHC

• Acupuncturist in Waterbury, VT
• Providers in Waterbury, VT by specialty
• Acupuncturist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.