Individual provider Active NPI

Anika Niambi Al-Shura, MSOM/PHD

  • Acupuncturist
  • Largo, FL
National Provider Identifier
1205043593
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
801 W Bay Dr Ste 607
Largo, FL 33770-3268
Phone
(727) 290-8904
NPI assigned
May 17, 2007
Last updated
May 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU
Research Clinic/Center 261QR1100X NU
Attendant Care Provider 3747A0650X NU
Nurse's Aide 376K00000X NU
Acupuncturist 171100000X NU Primary
Specialist 174400000X 31298 FL
Speech/Language/Hearing Specialist/Technologist 235500000X NU
Hematology Specialist/Technologist 246QH0000X NU
Pathology Technician 246R00000X FL
Medical Laboratory Technician 246RM2200X NU
Phlebotomy Technician 246RP1900X FL
Cardiology Technician 246W00000X NU
Health Educator 174H00000X NU
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

801 W Bay Dr Ste 607
Largo, FL 33770-3268

Mailing address

801 W Bay Dr Ste 607
Largo, FL 33770-3268
Phone (727) 290-8904

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 Philosophy

State licenses

LicenseStateTypeSpecialty
31298FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1205043593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 607",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703268",
            "telephone_number": "727-290-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 607",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703268",
            "telephone_number": "727-290-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SHURA",
        "first_name": "ANIKA",
        "middle_name": "NIAMBI",
        "name_prefix": "Dr.",
        "credential": "MSOM/PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "31298",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246QH0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Hematology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246R00000X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.