Individual provider Active NPI

Jennifer Suzanne Watkins, L.AC.

  • Acupuncturist
  • San Francisco, CA
National Provider Identifier
1518390764
Registry record updated Jul 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC15408 Issued in CA
Practice address
220 Montgomery St Ste 110
San Francisco, CA 94104-3405
Phone
(415) 828-6463
NPI assigned
Aug 12, 2013
Last updated
Jul 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25MZ00094900 NJ
Acupuncturist 171100000X 0049061 NY
Acupuncturist 171100000X AC15408 CA Primary

Addresses

Primary practice location

220 Montgomery St Ste 110
San Francisco, CA 94104-3405

Mailing address

125 Cambon Dr Apt 6B
San Francisco, CA 94132-2506
Phone (415) 452-0233

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
AC15408CAMDAcupuncturist
25MZ00094900NJMDAcupuncturist
0049061NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404432000000",
    "number": "1518390764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CAMBON DR APT 6B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322506",
            "telephone_number": "415-452-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MONTGOMERY ST STE 110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941043405",
            "telephone_number": "415-828-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2014-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00094900",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "0049061",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2014; 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.