Active NPI
Joanna Boutzoukas
- Acupuncturist
- Dunedin, FL
National Provider Identifier
1093247009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 3823
- Practice address
- 1761 Royal Oak PL W
Dunedin, FL 34698-2432 - Phone
- (727) 314-5365
- NPI assigned
- Mar 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 3823 | FL | Primary |
Addresses
Primary practice location
1761 Royal Oak PL W
Dunedin, FL 34698-2432
Mailing address
1761 Royal Oak PL W
Dunedin, FL 34698-2432
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3823 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1093247009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 ROYAL OAK PL W",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346982432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 ROYAL OAK PL W",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346982432",
"telephone_number": "727-314-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTZOUKAS",
"first_name": "JOANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "3823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.