Active NPI
Amanda Bouque, AP
- Acupuncturist
- Winter Park, FL
National Provider Identifier
1144622051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3417
- Practice address
- 2892 Carew Ave
Winter Park, FL 32789 - Phone
- (219) 730-3189
- NPI assigned
- Sep 23, 2014
- 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 | AP3417 | FL | Primary |
Addresses
Primary practice location
2892 Carew Ave
Winter Park, FL 32789
Mailing address
995 Westwood SQ
Suite a
Oviedo, FL 32765-9049
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 |
|---|---|---|---|
| AP3417 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1144622051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 WESTWOOD SQ",
"address_2": "SUITE A",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327659049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2892 CAREW AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "219-730-3189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUQUE",
"first_name": "AMANDA",
"credential": "AP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.