Ellen Policastri, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP 2521 Issued in FL

Practice address

1918 Pelican Landing Blvd
#1121
Clearwater, FL 33762-5552

Phone

(727) 409-5567

NPI assigned

May 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ellen Diveris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1619144243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 PELICAN LANDING BLVD",
            "address_2": "#1121",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 PELICAN LANDING BLVD",
            "address_2": "#1121",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337625552",
            "telephone_number": "727-409-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLICASTRI",
        "first_name": "ELLEN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2521",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00072100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "DIVERIS",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Podiatry Associates of Florida, Inc.
• Podiatry Associates of Florida, Inc.
• Christine P Poindexter Myatt, M.D.
• Nadezhda Dmitrievna Pokrovskaya, D.M.D.
• Avianna Poleto
• Elizabeth Nicole Polifrone, LCSW
• Benjamin Pollock, LMFT
• Diana Lynn Pollock, M.D.
• Cesar Pomares Millan, RN
• Joann Pompeii, ARNP

• Acupuncturist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.