Individual provider Active NPI

Shi Feng Yan

  • Acupuncturist
  • Miami, FL
National Provider Identifier
1881992485
Registry record updated Mar 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 2959 Issued in FL
Practice address
9555 N Kendall Dr Ste 101
Miami, FL 33176-1978
Phone
(786) 897-4836
NPI assigned
Mar 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2011

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 2959 FL Primary

Addresses

Primary practice location

9555 N Kendall Dr Ste 101
Miami, FL 33176-1978

Mailing address

9555 N Kendall Dr Ste 101
Miami, FL 33176-1978
Phone (786) 897-4836

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP 2959FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Acupuncture & Medicine Clinic Acupuncturist CurrentSince Jul 28, 2019 Accepting new patients

Locations

1330 SW 22nd St
Ste 308
Miami, FL 33145
Phone (305) 854-2222

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.

NPI Registry JSON

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

{
    "created_epoch": "1299283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299283200000",
    "number": "1881992485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 N KENDALL DR STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761978",
            "telephone_number": "786-897-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 N KENDALL DR STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761978",
            "telephone_number": "786-897-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "SHI FENG",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-05",
        "last_updated": "2011-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 2959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2011; 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.