Organization Active NPI

Mindy Rohrbacher Dba Radiant Life Acupuncture, LLC

  • Acupuncturist
  • Gainesville, FL
National Provider Identifier
1356745624
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3115 Issued in FL
Legal business name
MINDY ROHRBACHER DBA RADIANT LIFE ACUPUNCTURE, LLC
Practice address
3463 NW 13TH St Ste C
Gainesville, FL 32609-2172
Phone
(352) 362-7615
Fax
(888) 837-2955
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Mindy Rohrbacher, LMHC, AP
Title
Owner
Phone
(352) 362-7615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP3115 FL Primary

Addresses

Primary practice location

3463 NW 13TH St Ste C
Gainesville, FL 32609-2172

Mailing address

3463 NW 13TH St Ste C
Gainesville, FL 32609-2172
Phone (352) 362-7615

Other identifiers 2

IdentifierTypeStateIssuer
1881872620OtherPERSONAL NPI
C00LQOtherFLFLORIDA BLUE

National Provider Directory

National Provider Directory

Locations

3463 NW 13th St
Ste C
Gainesville, FL 32609
Phone (352) 362-7615

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1356745624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 NW 13TH ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092172",
            "telephone_number": "352-362-7615",
            "fax_number": "888-837-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 NW 13TH ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092172",
            "telephone_number": "352-362-7615",
            "fax_number": "888-837-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY ROHRBACHER DBA RADIANT LIFE ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "ROHRBACHER",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-362-7615",
        "authorized_official_credential": "LMHC, AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1881872620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "C00LQ",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.