Individual provider Active NPI

Lanika M. Buchanan, ND, AP

  • Acupuncturist
  • Port Orange, FL
National Provider Identifier
1255486650
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
4267 Issued in FL
Practice address
5656 Isabelle Ave Ste 6
Port Orange, FL 32127-6255
Phone
(386) 847-9797
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 171100000X WA
Naturopath 175F00000X NT00000995 WA
Acupuncturist 171100000X 4267 FL Primary

Addresses

Primary practice location

5656 Isabelle Ave Ste 6
Port Orange, FL 32127-6255

Mailing address

4449 Saxon Dr
New Smyrna Beach, FL 32169-4136
Phone (386) 847-9797

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

State licenses

LicenseStateTypeSpecialty
4267FLMDAcupuncturist
171100000XWAMDAcupuncturist
NT00000995WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Park Wellness LLC Acupuncturist CurrentSince Nov 17, 2024 Accepting new patients

Locations

5656 Isabelle Ave
Ste 6
Port Orange, FL 32127
Phone (386) 487-4000

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1255486650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 SAXON DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321694136",
            "telephone_number": "386-847-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 ISABELLE AVE STE 6",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321276255",
            "telephone_number": "386-847-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "LANIKA",
        "middle_name": "M.",
        "credential": "ND, AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "171100000X",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00000995",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.