Individual provider Active NPI

Alicia Villamarin, PHYSICIAN

  • Acupuncturist
  • Davie, FL
National Provider Identifier
1730308214
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP1713 Issued in FL
Practice address
10400 Griffin Rd
Suite 106
Davie, FL 33328-3337
Phone
(954) 680-5510
NPI assigned
Apr 24, 2007
Last updated
May 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP1713 FL Primary

Addresses

Primary practice location

10400 Griffin Rd
Suite 106
Davie, FL 33328-3337

Mailing address

300 Mallard Rd
Weston, FL 33327-1115
Phone (954) 349-2216

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Moon Acupuncture and Healing Arts Center LLC Acupuncturist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1730308214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MALLARD RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271115",
            "telephone_number": "954-349-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 GRIFFIN RD",
            "address_2": "SUITE 106",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283337",
            "telephone_number": "954-680-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMARIN",
        "first_name": "ALICIA",
        "credential": "PHYSICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.