Active NPI
Nicole Susan Ferris, L.AC., LMT
- Acupuncturist
- Mount Vernon, OH
National Provider Identifier
1770828485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 000227
- Practice address
- 1 Shalimar Dr
Mount Vernon, OH 43050-1977 - Phone
- (740) 392-2004
- Fax
- (740) 392-2004
- NPI assigned
- Dec 6, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000227 | OH | Primary |
| Massage Therapist | 225700000X | 11906 | OH |
Addresses
Primary practice location
1 Shalimar Dr
Mount Vernon, OH 43050-1977
Mailing address
1 Shalimar Dr
Mount Vernon, OH 43050-1977
Phone (740) 392-2004
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 |
|---|---|---|---|
| 11906 | OH | MD | Family Nurse Practitioner |
| 000227 | OH | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Center Massage Therapy & Acupuncture | 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.
-
- Acupuncturist
- Mount Vernon, OH
- NPI 1891287348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1770828485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHALIMAR DR",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501977",
"telephone_number": "740-392-2004",
"fax_number": "740-392-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHALIMAR DR",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501977",
"telephone_number": "740-392-2004",
"fax_number": "740-392-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "NICOLE",
"middle_name": "SUSAN",
"credential": "L.AC., LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OH",
"license": "000227",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "11906",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.