Source Point Acupuncture, PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

AP2548 Issued in FL

Legal business name

SOURCE POINT ACUPUNCTURE, PA

Practice address

797 Mayport Rd
Atlantic Beach, FL 32233-3425

Phone

(904) 859-5333

NPI assigned

Aug 27, 2009

Last updated

Aug 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Ruel, APNPI 1578796330

Title

President

Phone

(904) 859-5333

Specialties & licenses 1

Addresses

Tax ID family

Jacksonville Acupuncture Wellness PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jacksonville Acupuncture Wellness, PA

  • Acupuncturist
  • Jacksonville Beach, FL
  • NPI 1245599281
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Ruel, AP

  • Acupuncturist
  • Atlantic Beach, FL
  • NPI 1578796330
  NPD (past) Authorized official

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1235362096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ARBOR CLUB DR UNIT 216",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822605",
            "telephone_number": "904-859-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 MAYPORT RD",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333425",
            "telephone_number": "904-859-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE POINT ACUPUNCTURE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "RUEL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-859-5333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "AP2548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sha Billing LLC
• Shira Sharifi, CBD, CPD, NCS, CBS
• Lydia Shoemaker
• Addison Smith, PA-C
• Thomas Bradley Smith, DMD
• Paige Stabile
• Stalnaker Wellness LLC
• Kaitlin Marie Standridge
• Caroline Elizabeth Stewart
• John Ernest Stimler, D.O.

• Health Service Clinic/Center in Atlantic Beach, FL
• Providers in Atlantic Beach, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.