Tracy L Kozak, AP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP 1598 Issued in FL

Practice address

260 Paseo Reyes Dr
St Augustine, FL 32095-8462

Phone

(904) 806-3441

Fax

(904) 592-5370

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Classical Acupuncture Clinic

  • Acupuncturist
  • Saint Augustine, FL
  • NPI 1235796822
  NPD Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1154355121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 PASEO REYES DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320958462",
            "telephone_number": "904-806-3441",
            "fax_number": "904-592-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PASEO REYES DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958462",
            "telephone_number": "904-806-3441",
            "fax_number": "904-592-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelia Korey, LMT
• S Graham Kosch, PHD
• Felice I Koscinski, MD
• Jessica Koster, DDS
• Sara L Kouten, LCSW
• Dawn E Kpelo
• Dumbor G Kpelo
• Katrinia L Kraemer, FNP
• Christine Marie Krajewski, MD
• Ann M. Krall, RPH

• Acupuncturist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.