Individual provider Active NPI

Judith Ann Netherland, L.AC.

  • Acupuncturist
  • Liberty Hill, TX
National Provider Identifier
1760638977
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
00474 Issued in TX
Practice address
1353 Loop 332
Liberty Hill, TX 78642-4211
Phone
(512) 515-0551
Fax
(512) 515-0551
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 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 00474 TX Primary

Addresses

Primary practice location

1353 Loop 332
Liberty Hill, TX 78642-4211

Mailing address

1353 Loop 332
Liberty Hill, TX 78642-4211
Phone (512) 515-0551

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
00474TXMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1760638977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 LOOP 332",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786424211",
            "telephone_number": "512-515-0551",
            "fax_number": "512-515-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 LOOP 332",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786424211",
            "telephone_number": "512-515-0551",
            "fax_number": "512-515-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETHERLAND",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "00474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.