Individual provider Active NPI

Stephanie Gil, AP, DOM

  • Acupuncturist
  • Palmetto Bay, FL
National Provider Identifier
1417505041
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP4083 Issued in FL
Practice address
9225 SW 158TH LN Ste D
Palmetto Bay, FL 33157-1825
Phone
(305) 215-6823
Fax
(305) 675-7769
NPI assigned
Aug 27, 2019
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP4083 FL Primary

Addresses

Primary practice location

9225 SW 158TH LN Ste D
Palmetto Bay, FL 33157-1825

Mailing address

21750 SW 98TH Ave
Cutler Bay, FL 33190-1181
Phone (305) 215-6823

Other identifiers 1

IdentifierTypeStateIssuer
120084100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21750 SW 98TH Ave
Cutler Bay, FL 33190-1181

9225 SW 158TH LN
Suite D
Palmetto Bay, FL 33157-1825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP4083FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acutrition LLC Acupuncturist CurrentSince Jan 15, 2026 Accepting new patients

Locations

8337 NW 12th St
#101
Doral, FL 33126
Phone (305) 592-2996

13615 S Dixie Hwy
Ste 112
Palmetto Bay, FL 33176

9225 SW 158th Ln
Ste D
Palmetto Bay, FL 33157
Phone (305) 215-6823

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1417505041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21750 SW 98TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901181",
            "telephone_number": "305-215-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 SW 158TH LN STE D",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571825",
            "telephone_number": "305-215-6823",
            "fax_number": "305-675-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "STEPHANIE",
        "credential": "AP, DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120084100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.