Organization Active NPI

Life Is Qi

  • Acupuncturist
  • Wilton Manors, FL
National Provider Identifier
1003221110
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2616 Issued in FL
Legal business name
LIFE IS QI
Practice address
1650 NE 26TH St
Suite 101
Wilton Manors, FL 33305-1431
Phone
(786) 564-1881
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Odin Gutierrez
Title
President
Phone
(786) 564-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2616 FL Primary

Addresses

Primary practice location

1650 NE 26TH St
Suite 101
Wilton Manors, FL 33305-1431

Mailing address

1650 NE 26TH St
Suite 101
Wilton Manors, FL 33305-1431
Phone (786) 564-1881

National Provider Directory

National Provider Directory

Locations

1650 NE 26th St
Ste 101
Wilton Manors, FL 33305
Phone (954) 564-6573

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1003221110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 NE 26TH ST",
            "address_2": "SUITE 101",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051431",
            "telephone_number": "786-564-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 NE 26TH ST",
            "address_2": "SUITE 101",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051431",
            "telephone_number": "786-564-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IS QI",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ODIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-564-1881"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.