Individual provider Active NPI

Alice K Omohundro, AP

  • Acupuncturist
  • Sebastian, FL
National Provider Identifier
1427217165
Registry record updated Nov 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2431 Issued in FL
Practice address
735 Commerce Center Dr
Suite a
Sebastian, FL 32958-3136
Phone
(772) 913-0299
Fax
(772) 589-9027
NPI assigned
Jun 6, 2008
Last updated
Nov 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 2431 FL Primary

Addresses

Primary practice location

735 Commerce Center Dr
Suite a
Sebastian, FL 32958-3136

Mailing address

906 Crown St
Sebastian, FL 32958-8900
Phone (772) 913-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP 2431FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289001600000",
    "number": "1427217165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 CROWN ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329588900",
            "telephone_number": "772-913-0299",
            "fax_number": "772-589-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 COMMERCE CENTER DR",
            "address_2": "SUITE A",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583136",
            "telephone_number": "772-913-0299",
            "fax_number": "772-589-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOHUNDRO",
        "first_name": "ALICE",
        "middle_name": "K",
        "credential": "AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2010-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.