Organization Active NPI

Jimmy L. Wilson, Inc

  • Acupuncturist
  • Altamonte Springs, FL
National Provider Identifier
1578088993
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
JIMMY L. WILSON, INC
Practice address
14 Old Grove LN
Altamonte Springs, FL 32701-7947
Phone
(407) 497-8446
NPI assigned
Aug 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Hiroko ShimodaNPI 1336394493
Title
Ceo
Phone
(407) 497-8446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

14 Old Grove LN
Altamonte Springs, FL 32701-7947

Mailing address

1096 Howell Harbor Dr
Casselberry, FL 32707-5811
Phone (407) 497-8446

Other names 1

  • Veterans Acupuncture Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1578088993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 HOWELL HARBOR DR",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075811",
            "telephone_number": "407-497-8446",
            "fax_number": "407-951-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OLD GROVE LN",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017947",
            "telephone_number": "407-497-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY L. WILSON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "SHIMODA",
        "authorized_official_first_name": "HIROKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-497-8446"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veterans Acupuncture Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.