Individual provider Active NPI

Christina Alana Debow, ACUPUNCTURIST

  • Acupuncturist
  • St Augustine, FL
National Provider Identifier
1154896165
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3967 Issued in FL
Practice address
69 S Dixie Hwy Ste C1
Saint Augustine, FL 32084-4183
Phone
(904) 671-4046
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 9248453 FL
Massage Therapist 225700000X 32334 FL
Acupuncturist 171100000X 3967 FL Primary

Addresses

Primary practice location

69 S Dixie Hwy Ste C1
Saint Augustine, FL 32084-4183

Mailing address

2501 Hydrangea St
St Augustine, FL 32080-5885
Phone (904) 671-4046

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
3967FLMDGeneral Practice Dentistry
9248453FLMDMaternal Newborn Registered Nurse
32334FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1154896165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 HYDRANGEA ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320805885",
            "telephone_number": "904-671-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 S DIXIE HWY STE C1",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320844183",
            "telephone_number": "904-671-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOW",
        "first_name": "CHRISTINA",
        "middle_name": "ALANA",
        "name_prefix": "Ms.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "FL",
            "license": "9248453",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "32334",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.