Active NPI
Tanya Lynn Symonette, D.O.M.
- Acupuncturist
- Coral Gables, FL
National Provider Identifier
1588906101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 3235
- Practice address
- 4505 W Flagler St
Suite 202
Coral Gables, FL 33134-1500 - Phone
- (786) 364-7660
- NPI assigned
- Mar 21, 2013
- 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 | AP 3235 | FL | Primary |
Addresses
Primary practice location
4505 W Flagler St
Suite 202
Coral Gables, FL 33134-1500
Mailing address
1642 SW 18TH Ave
Miami, FL 33145-1467
Phone (954) 290-1974
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 |
|---|---|---|---|
| AP 3235 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life in Balance Acupuncture & Wellness | Acupuncturist | 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 and National Provider Directory roles.
-
- Acupuncturist
- Coral Gables, FL
- NPI 1639524440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1588906101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1642 SW 18TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331451467",
"telephone_number": "954-290-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 W FLAGLER ST",
"address_2": "SUITE 202",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341500",
"telephone_number": "786-364-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYMONETTE",
"first_name": "TANYA",
"middle_name": "LYNN",
"credential": "D.O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP 3235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.