Individual provider Active NPI

Bonnie Ann Heidel-Arnold, DOM; L.AC; LMT

  • Acupuncturist
  • Tampa, FL
National Provider Identifier
1356534416
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 1947 Issued in FL
Practice address
15350 Amberly Dr Unit 3611
Tampa, FL 33647
Phone
(239) 775-0212
Fax
(813) 435-3002
NPI assigned
Aug 22, 2007
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X AP 1947 FL
Acupuncturist 171100000X AP 1947 FL Primary
Homeopath 175L00000X AP 1947 FL
Reflexologist 173C00000X MA 12560 FL
Mechanotherapist 172M00000X MA 12560 FL

Addresses

Primary practice location

15350 Amberly Dr Unit 3611
Tampa, FL 33647

Mailing address

15350 Amberly Drive
3611
Tampa, FL 33647-1636
Phone (239) 775-0212

Other practice location 1

4150 N Armenia Ave Ste 102
Tampa, FL 33607-6448
Phone (813) 877-6900

Other practice location 2

217 Crystal Grove Blvd
Lutz, FL 33548-6465
Phone (813) 454-4044

Other identifiers 1

IdentifierTypeStateIssuer
12568072OtherFLCAQH

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 1947FLMDAcupuncturist
MA 12560FLMDReflexologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Approach Holistic Medicine Acupuncturist Current Accepting new patients
Pearl Institute PL PastSince Sep 1, 2007 Accepting new patients
One Step Closer to Healing PastSince Jun 15, 2025 Accepting new patients

Organizations & group practices 3

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1356534416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 AMBERLY DRIVE",
            "address_2": "3611",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471636",
            "telephone_number": "239-775-0212",
            "fax_number": "813-435-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 AMBERLY DR UNIT 3611",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "239-775-0212",
            "fax_number": "813-435-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 N Armenia Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076448",
            "country_code": "US",
            "telephone_number": "813-877-6900",
            "fax_number": "813-435-3002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Crystal Grove Blvd",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335486465",
            "country_code": "US",
            "telephone_number": "813-454-4044",
            "fax_number": "813-435-3002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDEL-ARNOLD",
        "first_name": "BONNIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DOM; L.AC; LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "AP 1947",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1947",
            "primary": true
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "FL",
            "license": "AP 1947",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MA 12560",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA 12560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12568072",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.