Laura M Paolillo, A.P.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP 1238 Issued in FL

Practice address

432 2ND St S
Jacksonville Beach, FL 32250-6764

Phone

(904) 476-1652

NPI assigned

Jun 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1356635767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 2ND ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 2ND ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506764",
            "telephone_number": "904-476-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLILLO",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C0764",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.