Individual provider Active NPI

Jimei He, DOM

  • Acupuncturist
  • Land O Lakes, FL
National Provider Identifier
1154928554
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP4171 Issued in FL
Practice address
24842 Blazing Trail Way
Land O Lakes, FL 34639-9584
Phone
(813) 943-9231
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS34516 FL
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AP4171 FL Primary

Addresses

Primary practice location

24842 Blazing Trail Way
Land O Lakes, FL 34639-9584

Mailing address

24842 Blazing Trail Way
Land O Lakes, FL 34639-9584
Phone (813) 943-9231

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
AP4171FLMDAcupuncturist
PS34516FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Daode LLC Acupuncturist CurrentSince Oct 11, 2020 Accepting new patients

Locations

1520 Land O Lakes Blvd
Ste A
Lutz, FL 33549
Phone (813) 803-3606

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1154928554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24842 BLAZING TRAIL WAY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346399584",
            "telephone_number": "813-943-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24842 BLAZING TRAIL WAY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346399584",
            "telephone_number": "813-943-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "JIMEI",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34516",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.