Organization Active NPI

Cristina Gillis

  • Acupuncturist
  • Fernandina Beach, FL
National Provider Identifier
1801187000
Registry record updated May 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2964 Issued in FL
Legal business name
CRISTINA GILLIS
Doing business as
Amelia Acupuncture
Practice address
961687 Gateway Blvd Ste 201N
Fernandina Beach, FL 32034-9159
Phone
(904) 206-9887
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2013

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

Authorized official

Name
Cristina Gillis, A.P.
Title
Acupuncture Physician
Phone
(904) 206-9887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP 2964 FL Primary

Addresses

Primary practice location

961687 Gateway Blvd Ste 201N
Fernandina Beach, FL 32034-9159

Mailing address

12220 Cap Ferrat St
Jacksonville, FL 32224-6755
Phone (904) 206-9887

Other names 1

  • Amelia Acupuncture Doing business as

National Provider Directory

National Provider Directory

Locations

961687 Gateway Blvd
Ste 201N
Fernandina Beach, FL 32034
Phone (904) 206-9887

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369440000000",
    "number": "1801187000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 CAP FERRAT ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322246755",
            "telephone_number": "904-206-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961687 GATEWAY BLVD STE 201N",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320349159",
            "telephone_number": "904-206-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTINA GILLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2013-05-25",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "904-206-9887",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amelia Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2013; 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.