Jeannie Laslo Douglas, AP, DIPL OM, ERYT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4301 Issued in FL

Practice address

316 Dunlawton Ave
Port Orange, FL 32127-4456

Phone

(386) 872-5757

NPI assigned

Aug 29, 2022

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holistic Women and Families Inc

  dba Holistic Women and Families Natural Health Center

  • Acupuncturist
  • Port Orange, FL
  • NPI 1467898791
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1184344525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 DUNLAWTON AVE APT 1924",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321277923",
            "telephone_number": "541-639-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 DUNLAWTON AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274456",
            "telephone_number": "386-872-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JEANNIE",
        "middle_name": "LASLO",
        "credential": "AP, DIPL OM, ERYT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Doll
• Candace Beth Donley, CRNA
• Lynnola Donnel
• Ian Donnelly
• Marissa Donofrio
• Paul Douglas
• Josh Dowd
• Dr Anthony S Capozzi LLC
• Dr Joseph Battaglia DC PA
• Dr K Primary Care, LLC (Dr K Primary Care)

• Acupuncturist in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.