Individual provider Active NPI

Patrick Sullivan, AP 239

  • Acupuncturist
  • Tarpon Springs, FL
National Provider Identifier
1275008799
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP239 Issued in FL
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AP239FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Carrington Acupuncture Inc. PastSince Jul 4, 2021 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.

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

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.

Verify at the official NPI Registry.