Active NPI
Patrick Sullivan, AP 239
- Acupuncturist
- Tarpon Springs, FL
National Provider Identifier
1275008799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP239
- Practice address
- 9 Hibiscus St Ste 5
Tarpon Springs, FL 34689-3436 - Phone
- (727) 942-4249
- Fax
- (727) 258-2558
- NPI assigned
- Oct 11, 2018
- Last updated
- Oct 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP239 | FL | Primary |
Addresses
Primary practice location
9 Hibiscus St Ste 5
Tarpon Springs, FL 34689-3436
Mailing address
114 E Tarpon Ave # 2
Tarpon Springs, FL 34689-3452
Phone (727) 942-4249
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP239 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrington Acupuncture Inc. | Past | Accepting new patients | |
| White Crane Clinic Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba White Crane Acupuncture Clinic Inc
- Clinic/Center
- Tarpon Springs, FL
- NPI 1306330501
-
- Clinic/Center
- Tarpon Springs, FL
- NPI 1891260949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1275008799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E TARPON AVE # 2",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346893452",
"telephone_number": "727-942-4249",
"fax_number": "727-258-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HIBISCUS ST STE 5",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346893436",
"telephone_number": "727-942-4249",
"fax_number": "727-258-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "PATRICK",
"credential": "AP 239",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-11",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarpon Springs, FL
- Stillwaters Assessment & Neuropsychological Services
- Trisha Jean Street, APRN
- Rachael Streeter, O.D.
- Teresa M. Suarez, MS, CCC-SLP
- Amy Sullinger, MCMSS, PA-C
- Suncoast Behavioral Services
- Sunset Harbor Assisted Living
- Jessica Lauren Swauger, ARNP, PMHNP-BC
- Synergic Healthcare Solutions LLC
- Virginia A Syperda, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.