Individual provider Active NPI

Natalie Koulouvaris, L.AC.

  • Acupuncturist
  • Lauderdale by the Sea, FL
National Provider Identifier
1437586864
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 3277 Issued in FL
Practice address
4747 N Ocean Dr
Suite 255
Lauderdale by the Sea, FL 33308-2947
Phone
(954) 343-8025
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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 3277 FL Primary

Addresses

Primary practice location

4747 N Ocean Dr
Suite 255
Lauderdale by the Sea, FL 33308-2947

Mailing address

2361 NW 34TH Way
Coconut Creek, FL 33066-2249

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 3277FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Family Wellness LLC Acupuncturist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1437586864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 NW 34TH WAY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N OCEAN DR",
            "address_2": "SUITE 255",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082947",
            "telephone_number": "954-343-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOULOUVARIS",
        "first_name": "NATALIE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 3277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.