Active NPI
Hayley Jackson, LAC
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1710410386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16580
- Practice address
- 150 Lombard St
Suite 2
San Francisco, CA 94111-1139 - Phone
- (415) 421-1115
- Fax
- (415) 421-1116
- NPI assigned
- Apr 10, 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 | 16580 | CA | Primary |
Addresses
Primary practice location
150 Lombard St
Suite 2
San Francisco, CA 94111-1139
Mailing address
150 Lombard St
Suite 2
San Francisco, CA 94111-1139
Phone (415) 421-1115
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 |
|---|---|---|---|
| 16580 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SS Integrative Medical Services Inc | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1710410386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 LOMBARD ST",
"address_2": "SUITE 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941111139",
"telephone_number": "415-421-1115",
"fax_number": "415-421-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 LOMBARD ST",
"address_2": "SUITE 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941111139",
"telephone_number": "415-421-1115",
"fax_number": "415-421-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "HAYLEY",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16580",
"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 Apr 10, 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.