Individual provider Active NPI

Joslin Tyler Stevens, LIC.,AC

  • Acupuncturist
  • South Deerfield, MA
National Provider Identifier
1871825158
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
237897 Issued in MA
Practice address
110 N Hillside Rd
Suite 24
South Deerfield, MA 01373-9726
Phone
(413) 387-8137
NPI assigned
Feb 11, 2010
Last updated
Feb 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 237897 MA Primary

Addresses

Primary practice location

110 N Hillside Rd
Suite 24
South Deerfield, MA 01373-9726

Mailing address

29 Hillside Rd
Montague, MA 01351-9716
Phone (413) 387-8137

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
237897MAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1871825158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HILLSIDE RD",
            "city": "MONTAGUE",
            "state": "MA",
            "postal_code": "013519716",
            "telephone_number": "413-387-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N HILLSIDE RD",
            "address_2": "SUITE 24",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739726",
            "telephone_number": "413-387-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JOSLIN",
        "middle_name": "TYLER",
        "name_prefix": "Mrs.",
        "credential": "LIC.,AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "237897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Deerfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.