Organization Active NPI

Vim Acupuncture and Integrated Wellness Center, LLC

  • Acupuncturist
  • Vero Beach, FL
National Provider Identifier
1649865619
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
VIM ACUPUNCTURE AND INTEGRATED WELLNESS CENTER, LLC
Practice address
87 Royal Palm PT
Vero Beach, FL 32960-4253
Phone
(772) 333-8647
Fax
(772) 264-3181
NPI assigned
Mar 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Authorized official

Name
Kim Netling, DOM, LAC
Title
Registered Agent
Phone
(772) 333-8647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

87 Royal Palm PT
Vero Beach, FL 32960-4253

Mailing address

PO Box 280
Vero Beach, FL 32961-0280
Phone (772) 774-7775

Other names 1

  • Vim Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

700 22nd Pl
Ste C
Vero Beach, FL 32960

87 Royal Palm Pt
Vero Beach, FL 32960
Phone (772) 333-8647

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649462400000",
    "number": "1649865619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329610280",
            "telephone_number": "772-774-7775",
            "fax_number": "772-264-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 ROYAL PALM PT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604253",
            "telephone_number": "772-333-8647",
            "fax_number": "772-264-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIM ACUPUNCTURE AND INTEGRATED WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A",
        "authorized_official_last_name": "NETLING",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "772-333-8647",
        "authorized_official_credential": "DOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vim Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vim Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.