Individual provider Active NPI

Theresa Marie Rizzo, A.P.

  • Acupuncturist
  • Gainesville, FL
National Provider Identifier
1508989880
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP1674 Issued in FL
Practice address
1330 NW 6TH St
Gainesville, FL 32601-2211
Phone
(352) 284-0817
Fax
(352) 335-0554
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 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 AP1674 FL Primary

Addresses

Primary practice location

1330 NW 6TH St
Gainesville, FL 32601-2211

Mailing address

617 NE 6TH St
Gainesville, FL 32601-5569
Phone (352) 284-0817

Other identifiers 1

IdentifierTypeStateIssuer
C0808OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Theresa Rizzo Professional name

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
AP1674FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Integrative Wellness Center Acupuncturist Current 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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1508989880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 NE 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015569",
            "telephone_number": "352-284-0817",
            "fax_number": "352-335-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326012211",
            "telephone_number": "352-284-0817",
            "fax_number": "352-335-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C0808",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "RIZZO",
            "credential": "A.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

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