Individual provider Active NPI

Cherry Kim, MACOM, AP

  • Acupuncturist
  • Orlando, FL
National Provider Identifier
1609411941
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
4081 Issued in FL
Practice address
3722 Conway Rd
Orlando, FL 32812-7608
Phone
(407) 504-0904
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 4081 FL Primary

Addresses

Primary practice location

3722 Conway Rd
Orlando, FL 32812-7608

Mailing address

3722 Conway Rd
Orlando, FL 32812-7608
Phone (407) 308-5001

Other practice location 1

200 N Denning Dr Ste 7
Winter Park, FL 32789-3736
Phone (407) 780-2645

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4081FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Hour Acupuncture, LLC Acupuncturist CurrentSince May 10, 2021 Accepting new patients

Locations

3722 Conway Rd
Orlando, FL 32812
Phone (321) 303-5946

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.

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1609411941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127608",
            "telephone_number": "407-308-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127608",
            "telephone_number": "407-504-0904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Denning Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327893736",
            "country_code": "US",
            "telephone_number": "407-780-2645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHERRY",
        "credential": "MACOM, AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.