Individual provider Active NPI

Kim Guerrise, D.O.M.

  • Acupuncturist
  • Boca Raton, FL
National Provider Identifier
1083861652
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP#1549 Issued in FL
Practice address
347 East Palmetto Park Rd.
Boca Raton, FL 33432
Phone
(561) 417-7552
Fax
(561) 417-7553
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP#1549 FL Primary

Addresses

Primary practice location

347 East Palmetto Park Rd.
Boca Raton, FL 33432

Mailing address

347 E Palmetto Park Rd
Boca Raton, FL 33432-5015
Phone (561) 417-7552

Other names 1

  • Ms. Kim Guerrise Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP#1549FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Natural Healing Inc. Acupuncturist CurrentSince Sep 22, 2020 Accepting new patients

Locations

4665 W Atlantic Ave
Ste C
Delray Beach, FL 33445
Phone (561) 240-2867

Organizations & group practices 1

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1083861652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 E PALMETTO PARK RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325015",
            "telephone_number": "561-417-7552",
            "fax_number": "561-417-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 EAST PALMETTO PARK RD.",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "561-417-7552",
            "fax_number": "561-417-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRISE",
        "first_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "D.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP#1549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "GUERRISE",
            "prefix": "MS.",
            "credential": "D.O.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.