Individual provider Active NPI

Sooann S Burbella, AP, MD

  • Acupuncturist
  • Coconut Creek, FL
National Provider Identifier
1164919296
Registry record updated Apr 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3617 Issued in FL
Practice address
2231 NW 34TH Ter
Coconut Creek, FL 33066-2234
Phone
(954) 600-2916
NPI assigned
Apr 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 3617 FL Primary

Addresses

Primary practice location

2231 NW 34TH Ter
Coconut Creek, FL 33066-2234

Mailing address

6695 NW 25TH Ter
Fort Lauderdale, FL 33309-1434
Phone (816) 286-6118

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3617FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523664000000",
    "number": "1164919296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 NW 25TH TER",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091434",
            "telephone_number": "816-286-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 NW 34TH TER",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662234",
            "telephone_number": "954-600-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBELLA",
        "first_name": "SOOANN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "AP, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.