Organization Active NPI

Enliven Integrative Health

Doing business as Florida Integrative Health & Wellness

  • Acupuncturist
  • St Petersburg, FL
National Provider Identifier
1073265617
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
ENLIVEN INTEGRATIVE HEALTH
Doing business as
Florida Integrative Health & Wellness
Practice address
100 2ND Ave S Ste 904S
Saint Petersburg, FL 33701-4354
Phone
(727) 329-8859
NPI assigned
Jan 25, 2022
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Carolyn Qubeck, LACNPI 1356903355
Title
Owner
Phone
(727) 329-8859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

100 2ND Ave S Ste 904S
Saint Petersburg, FL 33701-4354

Mailing address

100 2ND Ave S Ste 904S
Saint Petersburg, FL 33701-4354
Phone (727) 329-8859

Other names 1

  • Florida Integrative Health & Wellness Doing business as

National Provider Directory

National Provider Directory

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": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1073265617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 2ND AVE S STE 904S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014354",
            "telephone_number": "727-329-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND AVE S STE 904S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014354",
            "telephone_number": "727-329-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIVEN INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "QUBECK",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-329-8859",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Integrative Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.