Active NPI
Denise Dupree, AP,LAC, MAC
- Acupuncturist
- St Petersburg, FL
National Provider Identifier
1528181559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00000795
- Practice address
- 1511 4TH St N
St Petersburg, FL 33704-4411 - Phone
- (941) 281-6389
- NPI assigned
- Apr 6, 2007
- Last updated
- May 6, 2020
- 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 | AC00000795 | WA | Primary |
Addresses
Primary practice location
1511 4TH St N
St Petersburg, FL 33704-4411
Mailing address
515 77TH Ave
St Pete Beach, FL 33706-1705
Phone (941) 281-6389
Other practice location 1
11516 SE Mill Plain Blvd #2C
Back & Neck Care
Vancouver, WA 98684
Phone (360) 253-6674
Other names 1
- Dr. Denise Dupree
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 |
|---|---|---|---|
| AC00000795 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael B. Pettet, DC, PS | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Back and Neck Care Chiropractic
- Chiropractor
- Vancouver, WA
- NPI 1609086784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1528181559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 77TH AVE",
"city": "ST PETE BEACH",
"state": "FL",
"postal_code": "337061705",
"telephone_number": "941-281-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044411",
"telephone_number": "941-281-6389"
}
],
"practiceLocations": [
{
"address_1": "11516 SE Mill Plain Blvd #2C",
"address_2": "Back & Neck Care",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "98684",
"country_code": "US",
"telephone_number": "360-253-6674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUPREE",
"first_name": "DENISE",
"name_prefix": "Ms.",
"credential": "AP,LAC, MAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00000795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "DUPREE",
"prefix": "DR.",
"credential": "D.AC, AP, L.AC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.