Organization Active NPI

In2 Health, Inc.

  • Acupuncturist
  • Indialantic, FL
National Provider Identifier
1093392235
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
IN2 HEALTH, INC.
Practice address
105 S Riverside Dr Ste 201
Indialantic, FL 32903-4366
Phone
(321) 216-5118
Fax
(321) 241-3095
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Sara M Diaz, DACM, AP, C.SMA
Title
VP/Sec./Treas.
Phone
(321) 216-5118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

105 S Riverside Dr Ste 201
Indialantic, FL 32903-4366

Mailing address

4775 Quail Run PL
Melbourne, FL 32904-9723
Phone (321) 216-5118

Other identifiers 2

IdentifierTypeStateIssuer
1205151495OtherFLNPI
AP2796OtherFLAP LICENSE #

National Provider Directory

National Provider Directory

Locations

105 S Riverside Dr
Ste 201
Indialantic, FL 32903
Phone (321) 216-5118

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1093392235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 QUAIL RUN PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329049723",
            "telephone_number": "321-216-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S RIVERSIDE DR STE 201",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329034366",
            "telephone_number": "321-216-5118",
            "fax_number": "321-241-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN2 HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP/SEC./TREAS.",
        "authorized_official_telephone_number": "321-216-5118",
        "authorized_official_credential": "DACM, AP, C.SMA"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205151495",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AP LICENSE #",
            "identifier": "AP2796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.