Individual provider Active NPI

Veronica I Bolhovitinova, C.A.

  • Acupuncturist
  • Southampton, PA
National Provider Identifier
1467584540
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AK000721 Issued in PA
Practice address
82 Buck Rd Unit a
Southampton, PA 18966-1751
Phone
(215) 322-7733
Fax
(215) 322-7743
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK000721 PA Primary

Addresses

Primary practice location

82 Buck Rd Unit a
Southampton, PA 18966-1751

Mailing address

82 Buck Rd Unit a
Southampton, PA 18966-1751
Phone (215) 322-7733

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
AK000721PAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1467584540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BUCK RD UNIT A",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189661751",
            "telephone_number": "215-322-7733",
            "fax_number": "215-322-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 BUCK RD UNIT A",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189661751",
            "telephone_number": "215-322-7733",
            "fax_number": "215-322-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLHOVITINOVA",
        "first_name": "VERONICA",
        "middle_name": "I",
        "credential": "C.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK000721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.