Individual provider Active NPI

Leslie E Jafarace, MSOM

  • Acupuncturist
  • Pawley's Island, SC
National Provider Identifier
1932423712
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
127 Issued in SC
Practice address
14323 Ocean Highway
Suite 4143
Pawley's Island, SC 29585
Phone
(843) 455-4228
NPI assigned
Mar 23, 2010
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 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 127 SC Primary

Addresses

Primary practice location

14323 Ocean Highway
Suite 4143
Pawley's Island, SC 29585

Mailing address

14323 Ocean Hwy
Suite 4143
Pawleys Island, SC 29585-4817
Phone (843) 455-4228

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
127SCMDGenetic Counselor (M.S.)

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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1932423712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14323 OCEAN HWY",
            "address_2": "SUITE 4143",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295854817",
            "telephone_number": "843-455-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14323 OCEAN HIGHWAY",
            "address_2": "SUITE 4143",
            "city": "PAWLEY'S ISLAND",
            "state": "SC",
            "postal_code": "29585",
            "telephone_number": "843-455-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFARACE",
        "first_name": "LESLIE",
        "middle_name": "E",
        "credential": "MSOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "SC",
            "license": "127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.