Individual provider Active NPI

Jo Ellen Wisnosky, LICAC, CMT

  • Acupuncturist
  • Lancaster, PA
National Provider Identifier
1821323288
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK000973 Issued in PA
Practice address
1624 Colonial Manor Dr
Lancaster, PA 17603-6032
Phone
(717) 723-1362
NPI assigned
Oct 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK000973 PA Primary
Massage Therapist 225700000X

Addresses

Primary practice location

1624 Colonial Manor Dr
Lancaster, PA 17603-6032

Mailing address

1624 Colonial Manor Dr
Lancaster, PA 17603-6032
Phone (717) 723-1362

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
AK000973PAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1821323288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 COLONIAL MANOR DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036032",
            "telephone_number": "717-723-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 COLONIAL MANOR DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176036032",
            "telephone_number": "717-723-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNOSKY",
        "first_name": "JO ELLEN",
        "credential": "LICAC, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000973",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.