Individual provider Active NPI

Carolyn Qubeck, AP

  • Acupuncturist
  • St Petersburg, FL
National Provider Identifier
1356903355
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP-4065 Issued in FL
Practice address
2370 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-3239
Phone
(727) 202-6006
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP-4065 FL Primary

Addresses

Primary practice location

2370 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-3239

Mailing address

2370 Dr Martin Luther King Jr St N
Saint Petersburg, FL 33704-3239
Phone (727) 202-6006

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-4065FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida'S Natural Farmacy Inc Acupuncturist Current Accepting new patients
Enliven Integrative Health Acupuncturist Current Accepting new patients

Locations

2370 Mlk Jr St N
St Petersburg, FL 33704
Phone (727) 202-6006

100 2nd Ave S
Ste 904S
St Petersburg, FL 33701
Phone (727) 329-8859

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1356903355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 DR MARTIN LUTHER KING JR ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337043239",
            "telephone_number": "727-202-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043239",
            "telephone_number": "727-202-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUBECK",
        "first_name": "CAROLYN",
        "credential": "AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP-4065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.