Individual provider Active NPI

Viviana Viera, AP

  • Acupuncturist
  • Jacksonville, FL
National Provider Identifier
1073855896
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3209 Issued in FL
Practice address
1147 Edgewood Ave S
Jacksonville, FL 32205-0810
Phone
(786) 267-2540
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 3209 FL Primary

Addresses

Primary practice location

1147 Edgewood Ave S
Jacksonville, FL 32205-0810

Mailing address

7400 Powers Ave Apt 463
Jacksonville, FL 32217-3901
Phone (786) 267-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251017003307 GA Practitioner - Pain Management 0244727618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

215 N Coleman St
Swainsboro, GA 30401-3530

315 W Ponce de Leon Ave
Suite 1000
Decatur, GA 30030-2433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3209FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Healthcare Center, Inc. CurrentSince Aug 7, 2025 Accepting new patients
East Georgia Healthcare Center, Inc. Current Accepting new patients
East Georgia Healthcare Center, Inc. CurrentSince Aug 7, 2025 Accepting new patients

Locations

215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1073855896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 POWERS AVE APT 463",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322173901",
            "telephone_number": "786-267-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 EDGEWOOD AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050810",
            "telephone_number": "786-267-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERA",
        "first_name": "VIVIANA",
        "credential": "AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.