Active NPI
Yelena Sergiyenko, AP
- Acupuncturist
- Port St Lucie, FL
National Provider Identifier
1114083896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2055
- Practice address
- 650 SW Homeland Rd
Port St Lucie, FL 34953-6285 - Phone
- (772) 288-3668
- Fax
- (772) 288-3655
- NPI assigned
- Dec 28, 2006
- 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 | AP2055 | FL | Primary |
Addresses
Primary practice location
650 SW Homeland Rd
Port St Lucie, FL 34953-6285
Mailing address
650 SW Homeland Rd
Port St Lucie, FL 34953-6285
Phone (772) 288-3668
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 |
|---|---|---|---|
| AP2055 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114083896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 SW HOMELAND RD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349536285",
"telephone_number": "772-288-3668",
"fax_number": "772-288-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 SW HOMELAND RD",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349536285",
"telephone_number": "772-288-3668",
"fax_number": "772-288-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERGIYENKO",
"first_name": "YELENA",
"name_prefix": "Ms.",
"credential": "AP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.