Individual provider Active NPI

Philip C. Hightman, AP

  • Acupuncturist
  • Jacksonville, FL
National Provider Identifier
1649435611
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP1231 Issued in FL
Practice address
1437 Flagler Ave
Jacksonville, FL 32207-8516
Phone
(904) 353-1874
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP1231 FL Primary

Addresses

Primary practice location

1437 Flagler Ave
Jacksonville, FL 32207-8516

Mailing address

4605 Brentwood Ave
Jacksonville, FL 32206-6168
Phone (904) 353-1874

Other identifiers 1

IdentifierTypeStateIssuer
AP1231OtherFLSTATE LICENSE NUMBER

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
AP1231FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1649435611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 BRENTWOOD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322066168",
            "telephone_number": "904-353-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 FLAGLER AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078516",
            "telephone_number": "904-353-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHTMAN",
        "first_name": "PHILIP",
        "middle_name": "C.",
        "credential": "AP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "AP1231",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.