Individual provider Active NPI

Jeanne G Liu, MAOM

  • Acupuncturist
  • Wellesley, MA
National Provider Identifier
1811124506
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
238267 Issued in MA
Practice address
14 Mica LN
Suite 10
Wellesley, MA 02481-1773
Phone
(781) 235-6638
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 238267 MA Primary

Addresses

Primary practice location

14 Mica LN
Suite 10
Wellesley, MA 02481-1773

Mailing address

14 Mica LN
Suite 10
Wellesley, MA 02481-1773
Phone (781) 235-6638

Other names 1

  • Guizhen Liu Former name

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
238267MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1811124506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MICA LN",
            "address_2": "SUITE 10",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811773",
            "telephone_number": "781-235-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MICA LN",
            "address_2": "SUITE 10",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811773",
            "telephone_number": "781-235-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "JEANNE",
        "middle_name": "G",
        "credential": "MAOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "238267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUIZHEN",
            "last_name": "LIU",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.