Organization Active NPI

Ivy Acupuncture & Medicine Clinic

  • Acupuncturist
  • Miami, FL
National Provider Identifier
1891348652
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
IVY ACUPUNCTURE & MEDICINE CLINIC
Practice address
1330 Coral Way
Suite 308
Miami, FL 33145-2945
Phone
(786) 897-4836
Fax
(786) 319-4086
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Mrs. Shifeng YanNPI 1881992485
Title
Acupuncturist
Phone
(786) 897-4836

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1330 Coral Way
Suite 308
Miami, FL 33145-2945

Mailing address

1330 Coral Way
Suite 308
Miami, FL 33145-2945
Phone (786) 897-4836

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1891348652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CORAL WAY",
            "address_2": "SUITE 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452945",
            "telephone_number": "786-897-4836",
            "fax_number": "786-319-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CORAL WAY",
            "address_2": "SUITE 308",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452945",
            "telephone_number": "786-897-4836",
            "fax_number": "786-319-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY ACUPUNCTURE & MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "SHIFENG",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "786-897-4836",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "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 Jul 22, 2019; 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.