Individual provider Active NPI

Ana Jacobellis, D.O.

  • Family Medicine Physician
  • Westford, MA
National Provider Identifier
1871753996
Registry record updated Apr 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
236817 Issued in MA
Practice address
133 Littleton Rd
Sutie 202
Westford, MA 01886-3115
Phone
(978) 577-1946
NPI assigned
Jun 12, 2008
Last updated
Apr 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 236817 MA Primary

Addresses

Primary practice location

133 Littleton Rd
Sutie 202
Westford, MA 01886-3115

Mailing address

133 Littleton Rd
Sutie 202
Westford, MA 01886-3115
Phone (978) 577-1946

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
236817MAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365811200000",
    "number": "1871753996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUTIE 202",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863115",
            "telephone_number": "978-577-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 LITTLETON RD",
            "address_2": "SUTIE 202",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863115",
            "telephone_number": "978-577-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBELLIS",
        "first_name": "ANA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2013-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "236817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2013; 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.