1184804759 NPI number — JENNIFER S. SAVAGE M.S., L.AC.

NPI Number: 1184804759
Health Care Provider/Practitioner: JENNIFER S. SAVAGE M.S., L.AC.

NPI Number : 1184804759 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184804759",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SAVAGE",
    "FirstName": "JENNIFER",
    "MiddleName": "S.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S., L.AC.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "985 GAINES SCHOOL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATHENS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30605-3133",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-547-4005",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "985 GAINES SCHOOL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATHENS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30605-3133",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "404-547-4005",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/12/2007",
    "LastUpdateDate": "02/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC10797",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "158",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}