Individual provider Active NPI

Jill Renee Pahl, A.P.

  • Acupuncturist
  • St Petersburg, FL
National Provider Identifier
1154620219
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2941 Issued in FL
Practice address
7005 4TH St N
Suite 3
St Petersburg, FL 33702-5909
Phone
(727) 502-3464
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 2941 FL Primary

Addresses

Primary practice location

7005 4TH St N
Suite 3
St Petersburg, FL 33702-5909

Mailing address

9176 Blind Pass Rd
St Pete Beach, FL 33706-1303
Phone (813) 469-7086

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
AP 2941FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Being LLC Acupuncturist Past Accepting new patients

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": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1154620219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9176 BLIND PASS RD",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337061303",
            "telephone_number": "813-469-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 4TH ST N",
            "address_2": "SUITE 3",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025909",
            "telephone_number": "727-502-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHL",
        "first_name": "JILL",
        "middle_name": "RENEE",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.