Jennymarie Greenough, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC076 Issued in KY

Practice address

3044 Ring Rd
Elizabethtown, KY 42701-7932

Phone

(270) 506-3853

NPI assigned

Dec 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Raja Wellness, LLC

  • Acupuncturist
  • Elizabethtown, KY
  • NPI 1336664457
  NPD Authorized official

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1528499589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017932",
            "telephone_number": "270-506-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017932",
            "telephone_number": "270-506-3853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9050 New Jackson Hwy",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "KY",
            "postal_code": "427577806",
            "country_code": "US",
            "telephone_number": "270-506-3853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENOUGH",
        "first_name": "JENNYMARIE",
        "name_prefix": "Ms.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "KY",
            "license": "AC076",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa J Gray
• Grayson County Hospital Foundation Inc. (Twin Lakes Regional Medical Center)
• Logan Anthony Greco, PA-C
• Merciful Grace Green
• Steven Alan Green
• Bernard Damon Greenwell, MD
• Beth Ann Greenwell, PT, MPT, CLT-LANA
• George Leo Greenwell Jr., OTR
• Kristen McCann Greenwell
• Gregory D. Smith

• Acupuncturist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Acupuncturist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.