Active NPI
Brenda Ithier Nayak, AP
- Acupuncturist
- Sanford, FL
National Provider Identifier
1063854040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP1940
- Practice address
- 1081 WP Ball Blvd
Sanford, FL 32771-7201 - Phone
- (407) 328-7595
- Fax
- (407) 328-7372
- NPI assigned
- Jul 19, 2013
- 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 | AP1940 | FL | Primary |
Addresses
Primary practice location
1081 WP Ball Blvd
Sanford, FL 32771-7201
Mailing address
6706 Ambassador Dr
Orlando, FL 32818-4023
Phone (407) 473-5494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP1940 | Other | FL | ACUPUNCTURE LICENSE |
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 |
|---|---|---|---|
| AP1940 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374278400000",
"number": "1063854040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6706 AMBASSADOR DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328184023",
"telephone_number": "407-473-5494",
"fax_number": "321-245-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 WP BALL BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327717201",
"telephone_number": "407-328-7595",
"fax_number": "407-328-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYAK",
"first_name": "BRENDA",
"middle_name": "ITHIER",
"credential": "AP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-19",
"last_updated": "2013-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP1940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACUPUNCTURE LICENSE",
"identifier": "AP1940",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.