Active NPI
Mary Lynn Wieber
- Acupuncturist
- Palm Coast, FL
National Provider Identifier
1023074226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2077
- Practice address
- 102 Flagler Plaza Dr
Palm Coast, FL 32137-5967 - Phone
- (386) 439-0239
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | AP2077 | FL | Primary |
Addresses
Primary practice location
102 Flagler Plaza Dr
Palm Coast, FL 32137-5967
Mailing address
9 Coral Reef CT S
Palm Coast, FL 32137-8327
Phone (386) 237-0668
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 |
|---|---|---|---|
| AP2077 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233446400000",
"number": "1023074226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CORAL REEF CT S",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378327",
"telephone_number": "386-237-0668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 FLAGLER PLAZA DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321375967",
"telephone_number": "386-439-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEBER",
"first_name": "MARY LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2009-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.