Jessica Shinn Fromuth, M.AC., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC563 Issued in ME

Practice address

162 Main St. #7
Yarmouth, ME 04096-5716

Phone

(207) 776-9673

NPI assigned

Dec 8, 2017

Last updated

Dec 8, 2017By the provider in NPPES

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

Other names 1

• Jessica Catherine Shinn Former name

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": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512691200000",
    "number": "1689189920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MAIN ST. #7",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040965716",
            "telephone_number": "207-776-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MAIN ST. #7",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040965716",
            "telephone_number": "207-776-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMUTH",
        "first_name": "JESSICA",
        "middle_name": "SHINN",
        "credential": "M.AC., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SHINN",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Acupuncturist in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Acupuncturist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.