Individual provider Active NPI

Jessica Z. Gazzola, A.P.

  • Acupuncturist
  • Winter Park, FL
National Provider Identifier
1336304401
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
2337 Issued in FL
Practice address
200 N Denning Dr
Suite 7
Winter Park, FL 32789-3736
Phone
(407) 883-8873
Fax
(407) 523-6103
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 2337 FL Primary

Addresses

Primary practice location

200 N Denning Dr
Suite 7
Winter Park, FL 32789-3736

Mailing address

7517 Summer Lakes CT
Orlando, FL 32835-5137
Phone (407) 883-8873

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
2337FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1336304401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 SUMMER LAKES CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355137",
            "telephone_number": "407-883-8873",
            "fax_number": "407-523-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N DENNING DR",
            "address_2": "SUITE 7",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893736",
            "telephone_number": "407-883-8873",
            "fax_number": "407-523-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZZOLA",
        "first_name": "JESSICA",
        "middle_name": "Z.",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "2337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.