Individual provider Active NPI

Andrea Venus Danti, AP, LMT

  • Acupuncturist
  • Jacksonville, FL
National Provider Identifier
1295175826
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 3264 Issued in FL
Practice address
13400 Sutton Park Dr S Ste 1603
Jacksonville, FL 32224-0237
Phone
(904) 234-3964
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 40478 FL
Acupuncturist 171100000X AP 3264 FL Primary

Addresses

Primary practice location

13400 Sutton Park Dr S Ste 1603
Jacksonville, FL 32224-0237

Mailing address

13400 Sutton Park Dr S Ste 1603
Jacksonville, FL 32224-0237
Phone (904) 234-3964

Other practice location 1

1400 Marsh Landing Pkwy
Suite 112
Jacksonville Beach, FL 32250-2493
Phone (904) 234-3964

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
AP 3264FLMDAcupuncturist
40478FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture by Andrea, LLC Acupuncturist PastSince Mar 9, 2020 Accepting new patients

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, 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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1295175826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 SUTTON PARK DR S STE 1603",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240237",
            "telephone_number": "904-234-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 SUTTON PARK DR S STE 1603",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240237",
            "telephone_number": "904-234-3964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Marsh Landing Pkwy",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322502493",
            "country_code": "US",
            "telephone_number": "904-234-3964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANTI",
        "first_name": "ANDREA",
        "middle_name": "VENUS",
        "credential": "AP, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "40478",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 3264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.