Individual provider Active NPI

Kristin Dye Herbeck, A.P.

  • Acupuncturist
  • Palmetto, FL
National Provider Identifier
1790974194
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 1660 Issued in FL
Practice address
6353 35TH Avenue Cir E
Palmetto, FL 34221-1937
Phone
(941) 544-3418
NPI assigned
Oct 22, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 1660 FL Primary

Addresses

Primary practice location

6353 35TH Avenue Cir E
Palmetto, FL 34221-1937

Mailing address

6353 35TH Avenue Cir E
Palmetto, FL 34221-1937
Phone (941) 544-3418

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP 1660FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1790974194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6353 35TH AVENUE CIR E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211937",
            "telephone_number": "941-544-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6353 35TH AVENUE CIR E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211937",
            "telephone_number": "941-544-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBECK",
        "first_name": "KRISTIN",
        "middle_name": "DYE",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.