Individual provider Active NPI

Jennifer Lee Stukey, M.AC., L.AC.

  • Acupuncturist
  • Columbia, MD
National Provider Identifier
1982739231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01460 Issued in MD
Practice address
10716 Little Patuxent Pkwy Ste 210
Columbia, MD 21044-3106
Phone
(443) 562-1820
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01460 MD Primary

Addresses

Primary practice location

10716 Little Patuxent Pkwy Ste 210
Columbia, MD 21044-3106

Mailing address

10689 High Beam CT
Columbia, MD 21044-3632
Phone (443) 562-1820

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
U01460MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jen Acupuncture, LLC Acupuncturist Current 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, 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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982739231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10689 HIGH BEAM CT",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443632",
            "telephone_number": "443-562-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10716 LITTLE PATUXENT PKWY STE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443106",
            "telephone_number": "443-562-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKEY",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "M.AC., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.