Active NPI
Jayme Ezell, L.AC.
- Acupuncturist
- Round Rock, TX
National Provider Identifier
1902423817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC01442
- Practice address
- 3000 Joe Dimaggio Blvd Ste 27
Round Rock, TX 78665-3994 - Phone
- (512) 630-0478
- NPI assigned
- Jun 26, 2020
- Last updated
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01442 | TX | Primary |
Addresses
Primary practice location
3000 Joe Dimaggio Blvd Ste 27
Round Rock, TX 78665-3994
Mailing address
3803 Rolling HL
Round Rock, TX 78681-3687
Phone (312) 420-0478
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC01442 | TX | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1902423817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 ROLLING HL",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786813687",
"telephone_number": "312-420-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 JOE DIMAGGIO BLVD STE 27",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653994",
"telephone_number": "512-630-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZELL",
"first_name": "JAYME",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC01442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
- Exhale Medical Massage and Rehabilitation
- Eye Physicians of Central Texas, PA
- Eyemart Express LLC
- Eyemart Express, LTD.
- Eyemasters of Texas LTD (EyeMasters)
- Gladys Ezimako
- Fabry Family Chiropractic PC (The Pool of Bethesda Family Wellness Center)
- Robyn Rice Fader, MD
- Rebekah L Fahey, MA, BCBA
- Faith's Shining Light Home Health Care, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.