Active NPI
Katerina Penkova, LAC
- Acupuncturist
- Orlando, FL
National Provider Identifier
1821358052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2433
- Practice address
- 8809 Commodity Cir Ste 2
Orlando, FL 32819-9052 - Phone
- (407) 704-7878
- Fax
- (407) 704-7986
- NPI assigned
- May 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP2433 | FL | Primary |
Addresses
Primary practice location
8809 Commodity Cir Ste 2
Orlando, FL 32819-9052
Mailing address
8809 Commodity Cir Ste 2
Orlando, FL 32819-9052
Phone (407) 704-7878
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP2433 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J L Morillo MD PA | 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 and National Provider Directory roles.
-
- Pain Clinic/Center
- Orlando, FL
- NPI 1366840191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1821358052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8809 COMMODITY CIR STE 2",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328199052",
"telephone_number": "407-704-7878",
"fax_number": "407-704-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8809 COMMODITY CIR STE 2",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328199052",
"telephone_number": "407-704-7878",
"fax_number": "407-704-7986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENKOVA",
"first_name": "KATERINA",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.