Active NPI
Mindy Rohrbacher Dba Radiant Life Acupuncture, LLC
- Acupuncturist
- Gainesville, FL
National Provider Identifier
1356745624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3115
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881872620 | Other | PERSONAL NPI | |
| C00LQ | Other | FL | FLORIDA BLUE |
National Provider Directory
National Provider DirectoryLocations
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.