Individual provider Active NPI

Jackie Clason

  • Homeopath
  • Vineyard Haven, MA
National Provider Identifier
1992914709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
Practice address
44 Crown Hollow Rd
Vineyard Haven, MA 02568-7903
Phone
(508) 693-7091
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

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

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
Homeopath 175L00000X Primary

Addresses

Primary practice location

44 Crown Hollow Rd
Vineyard Haven, MA 02568-7903

Mailing address

44 Crown Hollow Rd
Vineyard Haven, MA 02568-7903
Phone (508) 693-7091

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992914709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CROWN HOLLOW RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025687903",
            "telephone_number": "508-693-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CROWN HOLLOW RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025687903",
            "telephone_number": "508-693-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASON",
        "first_name": "JACKIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineyard Haven, MA

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.