Individual provider Active NPI

Gretchen Lorenson, A.P., D.O.M.

  • Acupuncturist
  • Jacksonville, FL
National Provider Identifier
1295972891
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3837 Issued in FL
Practice address
4337 Pablo Oaks CT Ste 200
Jacksonville, FL 32224-4627
Phone
(904) 373-8415
NPI assigned
Jan 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3837 FL Primary

Addresses

Primary practice location

4337 Pablo Oaks CT Ste 200
Jacksonville, FL 32224-4627

Mailing address

3589 Sans Pareil St
Jacksonville, FL 32224-6731
Phone (904) 373-8415

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
AP3837FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
A Way of Life Acupuncture, PLLC Acupuncturist CurrentSince Jul 24, 2022 Accepting new patients

Locations

4337 Pablo Oaks Ct
Ste 200
Jacksonville, FL 32224
Phone (904) 373-8415

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": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1295972891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3589 SANS PAREIL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322246731",
            "telephone_number": "904-373-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 PABLO OAKS CT STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322244627",
            "telephone_number": "904-373-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENSON",
        "first_name": "GRETCHEN",
        "name_prefix": "Dr.",
        "credential": "A.P., D.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2022-04-14",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3837",
            "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 Apr 14, 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.