Individual provider Active NPI

Chabelly A Batista-de la Cruz

  • Acupuncturist
  • Smyrna, GA
National Provider Identifier
1063296473
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
519 Issued in GA
Practice address
3499 S Cobb Dr SE Ste 107
Smyrna, GA 30080-4170
Phone
(404) 398-9755
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK001341 PA
Acupuncturist 171100000X 519 GA Primary

Addresses

Primary practice location

3499 S Cobb Dr SE Ste 107
Smyrna, GA 30080-4170

Mailing address

3499 S Cobb Dr SE Ste 107
Smyrna, GA 30080-4170
Phone (404) 398-9755

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

LicenseStateTypeSpecialty
519GAMDAcupuncturist
AK001341PAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1063296473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 S COBB DR SE STE 107",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804170",
            "telephone_number": "404-398-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 S COBB DR SE STE 107",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804170",
            "telephone_number": "404-398-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTA-DE LA CRUZ",
        "first_name": "CHABELLY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001341",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.