Individual provider Active NPI

Atalie Mayer, AP

  • Acupuncturist
  • Indialantic, FL
National Provider Identifier
1508243171
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC01564 Issued in TX
Practice address
134 5TH Ave Ste 102
Indialantic, FL 32903-3133
Phone
(321) 345-8228
Fax
(321) 574-6788
NPI assigned
May 2, 2015
Sex
Female
Sole proprietor
No

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.

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
AC01564TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Elements Acupuncture PLLC Acupuncturist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC01564 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

134 5TH Ave Ste 102
Indialantic, FL 32903-3133

Mailing address

1989 Tyler Ave
Melbourne, FL 32935-4061
Phone (321) 345-8228

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2019.

{
    "created_epoch": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1508243171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 TYLER AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354061",
            "telephone_number": "321-345-8228",
            "fax_number": "321-574-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 5TH AVE STE 102",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033133",
            "telephone_number": "321-345-8228",
            "fax_number": "321-574-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "ATALIE",
        "credential": "AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-02",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC01564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.