Organization Active NPI

Acuessence, LLC

  • Acupuncturist
  • Live Oak, FL
National Provider Identifier
1609323385
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 3345 Issued in FL
Legal business name
ACUESSENCE, LLC
Practice address
312 Ohio Ave N
Live Oak, FL 32064-2457
Phone
(386) 361-8462
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Gretchen Marie Thevenau, APNPI 1548714082
Title
Owner
Phone
(386) 361-8462

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP 3345 FL Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X ACU.0001948 CO

Addresses

Primary practice location

312 Ohio Ave N
Live Oak, FL 32064-2457

Mailing address

835 167TH PL
Live Oak, FL 32060-8025
Phone (281) 658-5459

Other names 1

  • Suwannee River Community Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

312 Ohio Ave N
Live Oak, FL 32064
Phone (386) 361-8462

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": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1609323385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 167TH PL",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320608025",
            "telephone_number": "281-658-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 OHIO AVE N",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320642457",
            "telephone_number": "386-361-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUESSENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "THEVENAU",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-361-8462",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 3345",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0001948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suwannee River Community Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.