Individual provider Active NPI

Susan Helen Saniie, LAC.MAC.

  • Acupuncturist
  • Energy, IL
National Provider Identifier
1952748824
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.000779 Issued in IL
Practice address
202 S. Pershing St.
Goya Health LTD.
Energy, IL 62933
Phone
(618) 988-9843
Fax
(618) 942-8640
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.000779 IL Primary

Addresses

Primary practice location

202 S. Pershing St.
Goya Health LTD.
Energy, IL 62933

Mailing address

P.O. Box 100
Goya Health LTD.
Energy, IL 62933
Phone (618) 988-9843

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
198.000779ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Wolz Health, Inc Past Accepting new patients
Holistic Psychiatry Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1952748824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 100",
            "address_2": "GOYA HEALTH LTD.",
            "city": "ENERGY",
            "state": "IL",
            "postal_code": "62933",
            "telephone_number": "618-988-9843",
            "fax_number": "618-942-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S. PERSHING ST.",
            "address_2": "GOYA HEALTH LTD.",
            "city": "ENERGY",
            "state": "IL",
            "postal_code": "62933",
            "telephone_number": "618-988-9843",
            "fax_number": "618-942-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANIIE",
        "first_name": "SUSAN",
        "middle_name": "HELEN",
        "name_prefix": "Miss",
        "credential": "LAC.MAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Energy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.