NPIMap

Organization Active NPI

Clinic Vida, LLC

  • Acupuncturist
  • Sarasota, FL
National Provider Identifier
1073050043
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3476 Issued in FL
Legal business name
CLINIC VIDA, LLC
Practice address
73 S Palm Ave
Suite 223
Sarasota, FL 34236-5638
Phone
(941) 879-7388
NPI assigned
Jan 27, 2017
Last updated
Mar 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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

Authorized official

Name
Theresa Barcus, L.AP, DOM, BSPH, MOANPI 1093251720
Title
Acupuncture Physician, Doctor of Or
Phone
(941) 879-7388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3476 FL Primary
Homeopath 175L00000X AP3476 FL
Health Educator 174H00000X AP3476 FL

Addresses

Primary practice location

73 S Palm Ave
Suite 223
Sarasota, FL 34236-5638

Mailing address

73 S Palm Ave
Suite 223
Sarasota, FL 34236-5638

National Provider Directory

National Provider Directory
Tax ID family
Acupology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

73 S Palm Ave
Ste 223
Sarasota, FL 34236
Phone (941) 879-7388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489795200000",
    "number": "1073050043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 S PALM AVE",
            "address_2": "SUITE 223",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 S PALM AVE",
            "address_2": "SUITE 223",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365638",
            "telephone_number": "941-879-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC VIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-03-18",
        "status": "A",
        "authorized_official_last_name": "BARCUS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN, DOCTOR OF OR",
        "authorized_official_telephone_number": "941-879-7388",
        "authorized_official_credential": "L.AP, DOM, BSPH, MOA"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3476",
            "primary": true
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "FL",
            "license": "AP3476",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": "AP3476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.