Active NPI
Anna Gabrielle Severn, L.AC., MSTCM
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1669900908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17576
- Practice address
- 4200 18TH St Ste 103
San Francisco, CA 94114-2449 - Phone
- (415) 370-7341
- NPI assigned
- May 31, 2017
- 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 | 17576 | CA | Primary |
Addresses
Primary practice location
4200 18TH St Ste 103
San Francisco, CA 94114-2449
Mailing address
4520 Cabrillo St
San Francisco, CA 94121-3214
Phone (415) 370-7341
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 |
|---|---|---|---|
| 17576 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496188800000",
"number": "1669900908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 CABRILLO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941213214",
"telephone_number": "415-370-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 18TH ST STE 103",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142449",
"telephone_number": "415-370-7341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERN",
"first_name": "ANNA",
"middle_name": "GABRIELLE",
"credential": "L.AC., MSTCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2017-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "17576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.