Active NPI
Jennifer Leigh Fullerton Scheible, LAC
- Acupuncturist
- Albany, CA
National Provider Identifier
1588074967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16094
- Practice address
- 1225 Solano Ave Ste C
Albany, CA 94706-1767 - Phone
- (415) 424-5318
- NPI assigned
- May 6, 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 | 16094 | CA | Primary |
Addresses
Primary practice location
1225 Solano Ave Ste C
Albany, CA 94706-1767
Mailing address
1015 Liberty St Apt 2
El Cerrito, CA 94530-2635
Phone (415) 424-5318
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 |
|---|---|---|---|
| 16094 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1588074967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 LIBERTY ST APT 2",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945302635",
"telephone_number": "415-424-5318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 SOLANO AVE STE C",
"city": "ALBANY",
"state": "CA",
"postal_code": "947061767",
"telephone_number": "415-424-5318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEIBLE",
"first_name": "JENNIFER",
"middle_name": "LEIGH FULLERTON",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-06",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.