Organization Active NPI

Acupuncture Wellness Medical Clinic

  • Primary Care Clinic/Center
  • Venice, FL
National Provider Identifier
1396047403
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2422 Issued in FL
Legal business name
ACUPUNCTURE WELLNESS MEDICAL CLINIC
Practice address
400 Tamiami TRL S Ste 150
Venice, FL 34285-2623
Phone
(941) 586-4064
NPI assigned
Nov 22, 2010
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Ms. Melody Clancy, L, AC. , D.O.M,.NPI 1962602698
Title
Doctor of Oriental Medicine
Phone
(941) 586-4064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2422 FL Primary

Addresses

Primary practice location

400 Tamiami TRL S Ste 150
Venice, FL 34285-2623

Mailing address

400 Tamiami TRL S Ste 150
Venice, FL 34285-2623
Phone (941) 586-4064

National Provider Directory

National Provider Directory

Locations

400 Tamiami Trl S
Ste 150
Venice, FL 34285
Phone (941) 586-4064

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1396047403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TAMIAMI TRL S STE 150",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852623",
            "telephone_number": "941-586-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAMIAMI TRL S STE 150",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852623",
            "telephone_number": "941-586-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE WELLNESS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "DOCTOR OF ORIENTAL MEDICINE",
        "authorized_official_telephone_number": "941-586-4064",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L, AC. , D.O.M,."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "2422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.