Chisie Gumobao Klinglesmith, AP, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3986 Issued in FL

Practice address

1575 Indian River Blvd Ste C130
Vero Beach, FL 32960-7134

Phone

(772) 770-6184

Fax

(772) 770-6310

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1396210860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 RED SAIL WAY",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 INDIAN RIVER BLVD STE C130",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607134",
            "telephone_number": "772-770-6184",
            "fax_number": "772-770-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGLESMITH",
        "first_name": "CHISIE",
        "middle_name": "GUMOBAO",
        "name_prefix": "Dr.",
        "credential": "AP, DOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Kitchell, MD
• Meredith Cowart Kitchell, MMS, PA-C
• Nikitas Kleopoulos, MD
• Linda Joyce Kletty, ARNP-C
• Jaden Cassidy Kline
• Chelsea Kmetz, APRN
• Cameron Kmetzsch, DMD
• Mindy Knight, LMT
• Megan Knowles, MA, CCC-SLP
• Melissa Knowles, PA-C

• Acupuncturist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Acupuncturist in Florida

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