NPIMap

Organization Active NPI

Aviva LLC

Doing business as Aviva Acupuncture

  • Health & Wellness Coach
  • Aiea, HI
National Provider Identifier
1831952555
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
AVIVA LLC
Doing business as
Aviva Acupuncture
Practice address
99-209 Moanalua Rd Ste 314
Aiea, HI 96701-4042
Phone
(808) 797-8721
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Miss Melissa Pulicicchio, LICENSED ACUPUNCTURINPI 1477299485
Title
Owner
Phone
(808) 797-8721

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Birthing Clinic/Center 261QB0400X

Addresses

Primary practice location

99-209 Moanalua Rd Ste 314
Aiea, HI 96701-4042

Mailing address

5909 Gannet Ave # B
Ewa Beach, HI 96706-3211
Phone (808) 797-8721

Other identifiers 2

IdentifierTypeStateIssuer
1053859603MedicaidHI
1477299485MedicaidHI

Other names 1

  • AVIVA ACUPUNCTURE Doing business as

National Provider Directory

National Provider Directory

Locations

99-209 Moanalua Rd
#B
Aiea, HI 96701

Practitioners & affiliated clinicians

Practitioners 2

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": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1831952555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 GANNET AVE # B",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063211",
            "telephone_number": "808-797-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-209 MOANALUA RD STE 314",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014042",
            "telephone_number": "808-797-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "PULICICCHIO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-797-8721",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LICENSED ACUPUNCTURI"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053859603",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477299485",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVIVA ACUPUNCTURE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AVIVA ACUPUNCTURE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.