Active NPI
Andrea Lynn Shafir, L.AC.
- Acupuncturist
- Fort Bragg, CA
National Provider Identifier
1912157264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 7017
- Practice address
- 510 Cypress St
Suite C200
Fort Bragg, CA 95437-5411 - Phone
- (707) 964-1111
- NPI assigned
- Sep 23, 2008
- 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 | AC 7017 | CA | Primary |
Addresses
Primary practice location
510 Cypress St
Suite C200
Fort Bragg, CA 95437-5411
Mailing address
510 Cypress St
Suite C200
Fort Bragg, CA 95437-5411
Phone (707) 964-1111
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 |
|---|---|---|---|
| AC 7017 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason D Moore | Acupuncturist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Acupuncturist
- Fort Bragg, CA
- NPI 1962977595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1912157264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 CYPRESS ST",
"address_2": "SUITE C200",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375411",
"telephone_number": "707-964-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 CYPRESS ST",
"address_2": "SUITE C200",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375411",
"telephone_number": "707-964-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFIR",
"first_name": "ANDREA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 7017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bragg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.