Active NPI
Angela Eleanor Collina, D.O.M., A.P.
- Acupuncturist
- St Petersburg, FL
National Provider Identifier
1841657046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3500
- Practice address
- 222 2ND St N
St Petersburg, FL 33701-3314 - Phone
- (727) 551-0857
- Fax
- (727) 202-6896
- NPI assigned
- Jan 20, 2016
- Last updated
- Jan 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | AP3500 | FL | Primary |
Addresses
Primary practice location
222 2ND St N
St Petersburg, FL 33701-3314
Mailing address
5145 Beach Dr SE
Apt. D
St Petersburg, FL 33705-4870
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 |
|---|---|---|---|
| AP3500 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinellas Health & Wellness, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Petersburg Health & Wellness
- Preventive Medicine/Occupational Environmental Medicine Physician
- St Petersburg, FL
- NPI 1164836797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1841657046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5145 BEACH DR SE",
"address_2": "APT. D",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337054870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 2ND ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013314",
"telephone_number": "727-551-0857",
"fax_number": "727-202-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINA",
"first_name": "ANGELA",
"middle_name": "ELEANOR",
"credential": "D.O.M., A.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-20",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.