Individual provider Active NPI

Marsha Jacobs, M.AC.

  • Acupuncturist
  • Wilmington, MA
National Provider Identifier
1710159785
Registry record updated Mar 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
208644 Issued in MA
Practice address
62 Washington Ave
Wilmington, MA 01887-2313
Phone
(978) 852-6489
NPI assigned
Mar 30, 2008
Last updated
Mar 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 208644 MA Primary

Addresses

Primary practice location

62 Washington Ave
Wilmington, MA 01887-2313

Mailing address

62 Washington Ave
Wilmington, MA 01887-2313
Phone (978) 852-6489

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

LicenseStateTypeSpecialty
208644MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206835200000",
    "number": "1710159785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WASHINGTON AVE",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872313",
            "telephone_number": "978-852-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WASHINGTON AVE",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872313",
            "telephone_number": "978-852-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MARSHA",
        "credential": "M.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-30",
        "last_updated": "2008-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "208644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2008; 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.