Individual provider Active NPI

Jenna Poell, DTCM

  • Acupuncturist
  • Boise, ID
National Provider Identifier
1538878293
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-451 Issued in ID
Practice address
1433 N Cole Rd
Boise, ID 83704-8537
Phone
(208) 994-4889
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-451 ID Primary

Addresses

Primary practice location

1433 N Cole Rd
Boise, ID 83704-8537

Mailing address

1433 N Cole Rd
Boise, ID 83704-8537
Phone (208) 994-4889

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
ACU-451IDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Valley Acupuncture Acupuncturist CurrentSince Nov 27, 2022 Accepting new patients

Locations

1433 N Cole Rd
Boise, ID 83704
Phone (208) 994-4889

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1538878293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048537",
            "telephone_number": "208-994-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048537",
            "telephone_number": "208-994-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POELL",
        "first_name": "JENNA",
        "credential": "DTCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.