Theresa J. Anderson, AP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP4016 Issued in FL

Practice address

2425 N Courtenay Pkwy Unit 4
Merritt Island, FL 32953-4100

Phone

(407) 432-9193

NPI assigned

Jun 10, 2010

Last updated

Jul 10, 2019By 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

Practice roles

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

• Backonpoint Health and Wellness

  • Acupuncturist
  • Rockledge, FL
  • NPI 1477095669
  NPD (past)

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1386964443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 JACKSON AVE APT 101",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329202366",
            "telephone_number": "407-432-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N COURTENAY PKWY UNIT 4",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534100",
            "telephone_number": "407-432-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Jackson Ave Apt 101",
            "address_purpose": "LOCATION",
            "city": "Cape Canaveral",
            "state": "FL",
            "postal_code": "329202366",
            "country_code": "US",
            "telephone_number": "407-432-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "THERESA",
        "middle_name": "J.",
        "credential": "AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchor Chiropractic LLC
• Anchor Internal Medicine LLC
• Barbara L Anderson, RN
• Kimberly Anderson, LMT
• Stephanie Spain Anderson, PHD, LMHC
• Louise R Andrews
• Angel Guardian Assisted Living
• Anthony J. Sidor, D.D.S., P.a. (Merritt Island Smiles)
• Anytime Dental Centers, LLC
• Aquatic Health and Rehabilitation Services Inc

• Acupuncturist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.