Active NPI
Kassandra Renee Sorokach, L. AP, DIP. OM
- Acupuncturist
- Bushnell, FL
National Provider Identifier
1629760640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP4471
- Practice address
- 1135 W C 48
Bushnell, FL 33513-8971 - Phone
- (352) 603-0333
- NPI assigned
- May 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 | AP4471 | FL | Primary |
Addresses
Primary practice location
1135 W C 48
Bushnell, FL 33513-8971
Mailing address
9479 CR 735
Webster, FL 33597-4043
Phone (352) 603-7763
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 |
|---|---|---|---|
| AP4471 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Acupuncture and Wellness LLC | Acupuncturist | Current | Accepting new patients |
Locations
1135 W C 48
Bushnell, FL 33513
Phone (352) 603-0333
109 E Joe P Strickland Jr Ave
Bushnell, FL 33513
Phone (352) 282-0200
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
- Bushnell, FL
- NPI 1164284618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1629760640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9479 CR 735",
"city": "WEBSTER",
"state": "FL",
"postal_code": "335974043",
"telephone_number": "352-603-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 W C 48",
"city": "BUSHNELL",
"state": "FL",
"postal_code": "335138971",
"telephone_number": "352-603-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOROKACH",
"first_name": "KASSANDRA",
"middle_name": "RENEE",
"credential": "L. AP, DIP. OM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP4471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bushnell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.