Individual provider Active NPI

Danielle F Defreitas, O.M.

  • Acupuncturist
  • Fort Lauderdale, FL
National Provider Identifier
1538348164
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3640 Issued in FL
Practice address
910 NE 19TH Ave
Fort Lauderdale, FL 33304-3031
Phone
(754) 800-4826
NPI assigned
Oct 31, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP3640 FL Primary

Addresses

Primary practice location

910 NE 19TH Ave
Fort Lauderdale, FL 33304-3031

Mailing address

446 SW 4TH Ave Apt 4
Fort Lauderdale, FL 33315-1053
Phone (954) 552-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP3640FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Defreitas LLC Acupuncturist CurrentSince Mar 29, 2020 Accepting new patients

Locations

910 NE 19th Ave
Fort Lauderdale, FL 33304
Phone (754) 800-4826

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.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538348164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 SW 4TH AVE APT 4",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151053",
            "telephone_number": "954-552-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NE 19TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043031",
            "telephone_number": "754-800-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREITAS",
        "first_name": "DANIELLE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.