Tricia A Beretz, LIC. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4377 Issued in FL

Practice address

7640 N Wickham Rd Ste 121
Melbourne, FL 32940-8147

Phone

(321) 222-3621

NPI assigned

Sep 24, 2010

Last updated

Nov 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Glacier Blue Acupuncture

  • Acupuncturist
  • Melbourne, FL
  • NPI 1972473403
  NPD Authorized official

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1730497744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MAYFLOWER ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329273011",
            "telephone_number": "617-767-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 N WICKHAM RD STE 121",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408147",
            "telephone_number": "321-222-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERETZ",
        "first_name": "TRICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "238842",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Wayne Benson, PA-C
• Nykohl Benson
• Steven Garold Bentley, MD
• Arianna Berardi
• Anne H Beressi, M.D.
• Christie Lynn Berghoff, RCSWI
• Joseph Berisha
• Danny P Berk, MD
• Lori Anne Berk, M.S., LMHC
• Nicole Berkemeier, PT

• Acupuncturist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.