Active NPI
Elizabeth Ann Stephenson, AP
- Acupuncturist
- Daytona Beach, FL
National Provider Identifier
1497067797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 2861
- Practice address
- 1893 N Clyde Morris Blvd
Suite 110
Daytona Beach, FL 32117-5535 - Phone
- (386) 334-3231
- NPI assigned
- Jul 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP 2861 | FL | Primary |
Addresses
Primary practice location
1893 N Clyde Morris Blvd
Suite 110
Daytona Beach, FL 32117-5535
Mailing address
1119 Meditation Loop
Port Orange, FL 32129-5015
Phone (386) 334-3231
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP 2861 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1497067797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 MEDITATION LOOP",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321295015",
"telephone_number": "386-334-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1893 N CLYDE MORRIS BLVD",
"address_2": "SUITE 110",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175535",
"telephone_number": "386-334-3231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "AP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP 2861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.