Shelley Allison Sovola, L.AC.,OMD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC1181 Issued in CA

Practice address

1303 Northcrest Dr
Crescent City, CA 95531-2322

Phone

(707) 465-3000

Fax

(541) 469-2180

NPI assigned

Jan 6, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1649500034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6969",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150355",
            "telephone_number": "541-469-3354",
            "fax_number": "541-469-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 NORTHCREST DR",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312322",
            "telephone_number": "707-465-3000",
            "fax_number": "541-469-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Point Saint George",
            "address_purpose": "LOCATION",
            "city": "Crescent City",
            "state": "CA",
            "postal_code": "955318653",
            "country_code": "US",
            "telephone_number": "541-469-3354",
            "fax_number": "541-469-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOVOLA",
        "first_name": "SHELLEY",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "L.AC.,OMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC1181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.