Active NPI
Jessica Deahl, L.AC.
- Acupuncturist
- Tucson, AZ
National Provider Identifier
1548664147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 933
- Practice address
- 1600 N Tucson Blvd
Suite 120
Tucson, AZ 85716-3402 - Phone
- (520) 373-0012
- NPI assigned
- Oct 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 933 | AZ | Primary |
Addresses
Primary practice location
1600 N Tucson Blvd
Suite 120
Tucson, AZ 85716-3402
Mailing address
545 E 2ND St
Tucson, AZ 85705-7870
Phone (520) 373-0012
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
| License | State | Type | Specialty |
|---|---|---|---|
| 933 | AZ | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1548664147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 E 2ND ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857057870",
"telephone_number": "520-373-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N TUCSON BLVD",
"address_2": "SUITE 120",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163402",
"telephone_number": "520-373-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAHL",
"first_name": "JESSICA",
"name_prefix": "Miss",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AZ",
"license": "933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.