Active NPI
Whitney Ellen Fessler, L.AC.
- Acupuncturist
- Jackson, WY
National Provider Identifier
1972930030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- MED-ACU-LIC-41056
- Practice address
- 70 South Willow Street
Jackson, WY 83001 - Phone
- (307) 774-0110
- Fax
- (928) 637-6659
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
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 | MED-ACU-LIC-41056 | MT | Primary |
Addresses
Primary practice location
70 South Willow Street
Jackson, WY 83001
Mailing address
PO Box 215
Moose, WY 83012-0215
Phone (307) 774-0110
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 |
|---|---|---|---|
| MED-ACU-LIC-41056 | MT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1972930030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 215",
"city": "MOOSE",
"state": "WY",
"postal_code": "830120215",
"telephone_number": "307-774-0110",
"fax_number": "928-637-6659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 SOUTH WILLOW STREET",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-774-0110",
"fax_number": "928-637-6659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FESSLER",
"first_name": "WHITNEY",
"middle_name": "ELLEN",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MT",
"license": "MED-ACU-LIC-41056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.