Active NPI
Angelina Nagassar, DOM
- Acupuncturist
- Winter Park, FL
National Provider Identifier
1043971864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP4248
- Practice address
- 641 W Fairbanks Ave Ste 216
Winter Park, FL 32789-4770 - Phone
- (407) 223-5075
- NPI assigned
- Jan 4, 2022
- 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 | AP4248 | FL | Primary |
Addresses
Primary practice location
641 W Fairbanks Ave Ste 216
Winter Park, FL 32789-4770
Mailing address
2752 Foxwood CT
Orlando, FL 32818-3053
Phone (407) 223-5075
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 |
|---|---|---|---|
| AP4248 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1043971864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2752 FOXWOOD CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328183053",
"telephone_number": "407-223-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 W FAIRBANKS AVE STE 216",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894770",
"telephone_number": "407-223-5075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGASSAR",
"first_name": "ANGELINA",
"name_prefix": "Mrs.",
"credential": "DOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP4248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.