Organization Active NPI

Fifth Pivot Acupuncture Corp.

  • Acupuncturist
  • Miami, FL
National Provider Identifier
1790219905
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3650 Issued in FL
Legal business name
FIFTH PIVOT ACUPUNCTURE CORP.
Practice address
16650 N Kendall Dr Ste 201
Miami, FL 33196-1280
Phone
(786) 863-7088
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Jessica Lynn Del Valle, L.AC.NPI 1568847127
Title
Ceo
Phone
(786) 863-7088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP3650 FL Primary

Addresses

Primary practice location

16650 N Kendall Dr Ste 201
Miami, FL 33196-1280

Mailing address

16650 N Kendall Dr Ste 201
Miami, FL 33196-1280
Phone (786) 863-7088

Other practice location 1

5975 Sunset Dr
South Miami, FL 33143-5166
Phone (786) 863-7088

Other names 1

  • Holistic Family Center Doing business as

National Provider Directory

National Provider Directory

Locations

16650 N Kendall Dr
Ste 201
Miami, FL 33196
Phone (786) 863-7088

5975 Sunset Dr
South Miami, FL 33143
Phone (786) 863-7088

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": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1790219905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16650 N KENDALL DR STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961280",
            "telephone_number": "786-863-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 N KENDALL DR STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961280",
            "telephone_number": "786-863-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5975 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331435166",
            "country_code": "US",
            "telephone_number": "786-863-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIFTH PIVOT ACUPUNCTURE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-863-7088",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Family Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.