Jacksonville Acupuncture Wellness, PA

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2548 Issued in FL

Legal business name

JACKSONVILLE ACUPUNCTURE WELLNESS, PA

Practice address

3016 3Rd St S
Suite 102
Jacksonville Beach, FL 32250-6011

Phone

(904) 859-5333

NPI assigned

May 11, 2012

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.

• Source Point Acupuncture, PA

  • Health Service Clinic/Center
  • Atlantic Beach, FL
  • NPI 1235362096
  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.

• 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": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1245599281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ARBOR CLUB DR",
            "address_2": "SUITE #216",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822666",
            "telephone_number": "904-859-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 3RD ST S",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506011",
            "telephone_number": "904-859-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE ACUPUNCTURE WELLNESS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "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": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Wellness Center of Jacksonville
• Donna Ray Iverson, ARNP - BC
• Shiro Iwae, PT
• Sherri K Jackson, APRN
• Wesley Alexander Jackson
• Jacksonville Beach Surgery Center, LLC
• Jacksonville Beaches Anesthesia Associates, Inc.
• Jacksonville Beaches Medical Imaging Inc
• Jacksonville Lung Clinic LLC
• Jacksonville Orthopaedic Institute Inc

• Acupuncturist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.