Hadijah Vanada Eggleton, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2589 Issued in FL

Practice address

3939 Hollywood Blvd
Medical Research Center: Al Nisa Clinic 3Rd Floor
Hollywood, FL 33021-6749

Phone

(954) 272-6011

Fax

(954) 272-6012

NPI assigned

Nov 20, 2009

Last updated

Nov 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Hadijah Sylvia Vanada Eggleton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1063740678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOLLYWOOD BLVD",
            "address_2": "MEDICAL RESEARCH CENTER: AL NISA CLINIC 3RD FLOOR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216749",
            "telephone_number": "954-272-6011",
            "fax_number": "954-272-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOLLYWOOD BLVD",
            "address_2": "MEDICAL RESEARCH CENTER: AL NISA CLINIC 3RD FLOOR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216749",
            "telephone_number": "954-272-6011",
            "fax_number": "954-272-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLETON",
        "first_name": "HADIJAH",
        "middle_name": "VANADA",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "2589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HADIJAH",
            "last_name": "EGGLETON",
            "middle_name": "SYLVIA VANADA",
            "credential": "ACUPUNCTURIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kareem Edwards, PSYD
• Monique S. Edwards, MSW
• Andrew Thomas Eells
• Melanie Jean Egan
• Marcelo Egea, MD
• Benjamin Luis Egusquiza, M.D.
• Fred Imre Ehrenstein, M.D.
• Abigail Brooke Ehrlich
• Ethan Jarrad Ehrlich, CRNA
• Kathie Ager Einstein, LCSW

• Acupuncturist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.