Carolyn Jaffe, DOM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2039 Issued in FL

Practice address

2004 Wedge CT
Sun City Ctr, FL 33573-5160

Phone

(813) 633-5707

Fax

(813) 633-5707

NPI assigned

Jan 29, 2010

Last updated

Mar 17, 2018By the provider in NPPES

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

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": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366774499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 WEDGE CT",
            "city": "SUN CITY CTR",
            "state": "FL",
            "postal_code": "335735160",
            "telephone_number": "813-633-5707",
            "fax_number": "813-633-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 WEDGE CT",
            "city": "SUN CITY CTR",
            "state": "FL",
            "postal_code": "335735160",
            "telephone_number": "813-633-5707",
            "fax_number": "813-633-5707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4326 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337111141",
            "country_code": "US",
            "telephone_number": "727-865-6900",
            "fax_number": "727-865-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "DOM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Grussi, PHYSICAL THERAPIST
• Mandi Leigh Kessler, RN, MSN
• Cheryl Paula Levin, PH.D.
• Priyanka D Patel

• Acupuncturist in Sun City Ctr, FL
• Providers in Sun City Ctr, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.