Individual provider Active NPI

Janelle Jefferson, L.AC

  • Acupuncturist
  • Chicago, IL
National Provider Identifier
1881164796
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.001448 Issued in IL
Practice address
47 W Polk St Ste M5
Chicago, IL 60605-2088
Phone
(312) 971-7291
NPI assigned
Dec 4, 2018
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.001448 IL Primary

Addresses

Primary practice location

47 W Polk St Ste M5
Chicago, IL 60605-2088

Mailing address

1700 E 56TH St Apt 2003
Chicago, IL 60637-5086

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
198.001448ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Herb & Tao Acupuncture and Wellness CurrentSince Jul 23, 2023 Accepting new patients

Locations

1525 E 53rd St
Ste 808
Chicago, IL 60615
Phone (312) 403-1853

47 W Polk St
Ste M5
Chicago, IL 60605
Phone (312) 796-3965

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1881164796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E 56TH ST APT 2003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W POLK ST STE M5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052088",
            "telephone_number": "312-971-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "JANELLE",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.