East Lake Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP 3178 Issued in FL

Legal business name

EAST LAKE ACUPUNCTURE, LLC

Practice address

819 E Oak St Ste B
Kissimmee, FL 34744-5842

Phone

(407) 738-7412

Fax

(321) 250-7841

NPI assigned

Oct 10, 2012

Last updated

Aug 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeannette R Kerns, AP, DOM, L.AC.NPI 1881821593

Title

President

Phone

(407) 738-7412

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• East Lake Acupuncture & Wellness, LLC Former legal business name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeannette R Kerns, AP, DOM, L.AC.

  • Acupuncturist
  • Kissimmee, FL
  • NPI 1881821593
  NPD Authorized official
• Maria Jovita Arroyo

  • Massage Therapist
  • Kissimmee, FL
  • NPI 1003330457
  NPD (past)
• Rhontasha N Gerrick, ND, AP, DIP OM, L.AC

  • Acupuncturist
  • Orlando, FL
  • NPI 1871284075
  NPD (past)
• Jennifer F Torres-Ordinas, AP

  • Acupuncturist
  • Saint Cloud, FL
  • NPI 1629404033
  NPD (past)

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1356693709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700215",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347700215",
            "telephone_number": "407-738-7412",
            "fax_number": "321-250-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 E OAK ST STE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445842",
            "telephone_number": "407-738-7412",
            "fax_number": "321-250-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LAKE ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-738-7412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AP, DOM, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 3178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102479200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12500125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Lake Acupuncture & Wellness, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Acupuncturist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.