Kornelia Anna Vitez, A.P., DIPL.OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3755 Issued in FL

Practice address

2061 NW 2ND Ave
Suite 208
Boca Raton, FL 33431-6776

Phone

(561) 706-2642

NPI assigned

Jan 26, 2017

Last updated

Jan 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eternal Acupuncture LLC

  • Acupuncturist
  • Boca Raton, FL
  • NPI 1295276756
  NPD (past) Authorized official

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1073050183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N CLEARBROOK CIR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454564",
            "telephone_number": "561-452-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 NW 2ND AVE",
            "address_2": "SUITE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316776",
            "telephone_number": "561-706-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITEZ",
        "first_name": "KORNELIA",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "A.P., DIPL.OM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Image Health, LLC (Vital Image Med Spa and Anti-Aging)
• Vital Life Pharmacy
• Vital Medical Inc.
• Marielle Francesca Vitale, AA
• Vitamedmd LLC
• Angela Teresa Vittori, MD
• Viva Pediatric Therapy Inc
• Viva Psychotherapy LLC
• Vivant Health, PLLC
• Vivian R Kunstmann DDS PA

• Acupuncturist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.