Individual provider Active NPI

Kanokwan Jatuparisuthiseen

  • Acupuncturist
  • Westport, CT
National Provider Identifier
1699364679
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
789 Issued in CT
Practice address
8 Lincoln St
Westport, CT 06880-4201
Phone
(203) 858-4929
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 789 CT Primary

Addresses

Primary practice location

8 Lincoln St
Westport, CT 06880-4201

Mailing address

9 Lakeview Dr
Norwalk, CT 06850-2002
Phone (203) 858-4929

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

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1699364679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LAKEVIEW DR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068502002",
            "telephone_number": "203-858-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LINCOLN ST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804201",
            "telephone_number": "203-858-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JATUPARISUTHISEEN",
        "first_name": "KANOKWAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.