Organization Active NPI

Life in Balance Acupuncture & Wellness

  • Acupuncturist
  • Coral Gables, FL
National Provider Identifier
1639524440
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
LIFE IN BALANCE ACUPUNCTURE & WELLNESS
Practice address
4505 W Flagler St
Suite 202
Coral Gables, FL 33134-1500
Phone
(786) 364-7660
NPI assigned
Apr 29, 2016
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Tanya Lynn Symonette, D.O.M., A.P.NPI 1588906101
Title
Owner/Acupuncture Physician
Phone
(954) 290-1974

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
Acupuncturist 171100000X NU Primary
Massage Therapist 225700000X NU

Addresses

Primary practice location

4505 W Flagler St
Suite 202
Coral Gables, FL 33134-1500

Mailing address

1642 SW 18TH Ave
Miami, FL 33145-1467
Phone (954) 290-1974

National Provider Directory

National Provider Directory

Locations

4505 W Flagler St
Ste 202
Coral Gables, FL 33134
Phone (305) 754-2397

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1639524440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 SW 18TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451467",
            "telephone_number": "954-290-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 W FLAGLER ST",
            "address_2": "SUITE 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341500",
            "telephone_number": "786-364-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN BALANCE ACUPUNCTURE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "SYMONETTE",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "954-290-1974",
        "authorized_official_credential": "D.O.M., A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.