Individual provider Active NPI

Jennifer Lynn Treadwell, L.AC

  • Acupuncturist
  • Scottsdale, AZ
National Provider Identifier
1720611569
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
LAC-010061 Issued in AZ
Practice address
7520 E Camelback Rd
Scottsdale, AZ 85251-3511
Phone
(602) 957-2602
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X LAC-010061 AZ Primary

Addresses

Primary practice location

7520 E Camelback Rd
Scottsdale, AZ 85251-3511

Mailing address

6125 N Central Ave Unit 9
Phoenix, AZ 85012-1255
Phone (602) 743-3361

Other names 1

  • Jennifer Lynn Lowe Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.optimantra.com

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
LAC-010061AZMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1720611569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 N CENTRAL AVE UNIT 9",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121255",
            "telephone_number": "602-743-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 E CAMELBACK RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513511",
            "telephone_number": "602-957-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-010061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.optimantra.com",
            "affiliation": "N",
            "address_1": "7520 E Camelback Rd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852513511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LOWE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.