Individual provider Active NPI

Serena Elias, AP, DA, DIPL.AC.

  • Acupuncturist
  • Ft Lauderdale, FL
National Provider Identifier
1528257599
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP0000828 Issued in FL
Practice address
2821 E Commercial Blvd
First Floor
Ft Lauderdale, FL 33308-4216
Phone
(954) 489-1144
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP0000828 FL Primary

Addresses

Primary practice location

2821 E Commercial Blvd
First Floor
Ft Lauderdale, FL 33308-4216

Mailing address

2821 E Commercial Blvd
First Floor
Ft Lauderdale, FL 33308-4216
Phone (954) 489-1144

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
AP0000828FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1528257599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 E COMMERCIAL BLVD",
            "address_2": "FIRST FLOOR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084216",
            "telephone_number": "954-489-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 E COMMERCIAL BLVD",
            "address_2": "FIRST FLOOR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084216",
            "telephone_number": "954-489-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "SERENA",
        "credential": "AP, DA, DIPL.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP0000828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.