Individual provider Active NPI

Abbey Jo Shulkin, L.AC.

  • Acupuncturist
  • Boca Raton, FL
National Provider Identifier
1124773734
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
4319 Issued in FL
Practice address
7035 Beracasa Way Ste 104
Boca Raton, FL 33433-3454
Phone
(561) 843-6604
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 4319 FL Primary

Addresses

Primary practice location

7035 Beracasa Way Ste 104
Boca Raton, FL 33433-3454

Mailing address

5501 NW 2ND Ave Apt 209
Boca Raton, FL 33487-3855
Phone (786) 368-0076

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

LicenseStateTypeSpecialty
4319FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Axion Trainer Inc CurrentSince Feb 24, 2022 Accepting new patients

Locations

7035 Beracasa Way
Ste 104
Boca Raton, FL 33433
Phone (561) 361-4888

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1124773734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 NW 2ND AVE APT 209",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873855",
            "telephone_number": "786-368-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 BERACASA WAY STE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333454",
            "telephone_number": "561-843-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULKIN",
        "first_name": "ABBEY JO",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 2022; 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.