Individual provider Active NPI

Giselle Kiyomura Trevisan, AP

  • Acupuncturist
  • Aventura, FL
National Provider Identifier
1629722236
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP4277 Issued in FL
Practice address
15805 Biscayne Blvd Ste 305
Aventura, FL 33160-5378
Phone
(786) 505-1505
NPI assigned
Feb 11, 2022
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP4277 FL Primary

Addresses

Primary practice location

15805 Biscayne Blvd Ste 305
Aventura, FL 33160-5378

Mailing address

11930 N Bayshore Dr Apt 1001
North Miami, FL 33181-2926
Phone (305) 927-5601

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

LicenseStateTypeSpecialty
AP4277FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1629722236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 N BAYSHORE DR APT 1001",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812926",
            "telephone_number": "305-927-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15805 BISCAYNE BLVD STE 305",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331605378",
            "telephone_number": "786-505-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVISAN",
        "first_name": "GISELLE",
        "middle_name": "KIYOMURA",
        "credential": "AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.