Crystal L Cacolici, A.P. DIPL. OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3644 Issued in FL

Practice address

1732 NE 26TH St Ste 202
Wilton Manors, FL 33305

Phone

(954) 533-8044

NPI assigned

Sep 19, 2016

Last updated

Aug 28, 2019By 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

Practice roles

Locations

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.

• Benshen Acupuncture and Herbs

  • Acupuncturist
  • Fort Lauderdale, FL
  • NPI 1922535046
  NPD Authorized official

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1467900449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 N ANDREWS AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330691420",
            "telephone_number": "954-465-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 NE 26TH ST STE 202",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-533-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333051620",
            "country_code": "US",
            "telephone_number": "954-465-6531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CACOLICI",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "credential": "A.P. DIPL. OM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri-Ann Brown, ARNP
• Lori B Bryant
• Rafaela Buenaventura, LCSW
• Janene Bussell, PHD
• Roberto Joaquin Cabassa Latoni, D.M.D
• Arturo Cadilla
• Charles Brendan Callaghan
• Victoria A. Camba, DO
• Camp 4 Health
• Katharine Marie Campbell, PH.D., L.C.S.W.

• Acupuncturist in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.