Clancy Acupuncture & Wellness Clinic

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2422 Issued in FL

Legal business name

CLANCY ACUPUNCTURE & WELLNESS CLINIC

Practice address

523 W Interlake Blvd
Lake Placid, FL 33852-0703

Phone

(863) 441-4737

NPI assigned

Jul 7, 2016

Organization subpart

No

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

Authorized official

Name

Melody Clancy, DOM, MAC, AP

Title

Acupuncture Physician

Phone

(863) 441-4737

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1669824249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 W INTERLAKE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338520703",
            "telephone_number": "863-441-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 W INTERLAKE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338520703",
            "telephone_number": "863-441-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLANCY ACUPUNCTURE & WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "863-441-4737",
        "authorized_official_credential": "DOM, MAC, AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "AP2422",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Carle
• Norma Jean Carrow
• Stephanie Lynn Celaya, OTR
• David Chams, MD
• Guetchine Charite
• Joshua Claypool, PTA
• Cora Health Services Inc
• Cora Health Services, Inc
• Wilfredo Corredera, M.D.
• Linda S Cruse, D.P.T.

• All providers in Lake Placid, FL
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.