Individual provider Active NPI

Sainlouitane Theus, D.O.M

  • Acupuncturist
  • Fort Pierce, FL
National Provider Identifier
1861696957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2293 Issued in FL
Practice address
2801 Orange Ave
Fort Pierce, FL 34947-3607
Phone
(561) 302-7402
Fax
(954) 429-1063
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 2293 FL Primary

Addresses

Primary practice location

2801 Orange Ave
Fort Pierce, FL 34947-3607

Mailing address

3513 Palais Ter
Wellington, FL 33467-8063
Phone (561) 302-7402

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 2293FLMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861696957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 PALAIS TER",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334678063",
            "telephone_number": "561-302-7402",
            "fax_number": "954-429-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ORANGE AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349473607",
            "telephone_number": "561-302-7402",
            "fax_number": "954-429-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEUS",
        "first_name": "SAINLOUITANE",
        "credential": "D.O.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.