Awaken Integrative Wellness, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

AWAKEN INTEGRATIVE WELLNESS, LLC

Practice address

735 Arlington Ave N Ste 209
St Petersburg, FL 33701-3653

Phone

(727) 203-5128

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Anthony Williams, DAOMNPI 1013336841

Title

Owner/ Provider

Phone

(727) 203-5128

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Williams, DAOM

  • Acupuncturist
  • St Petersburg, FL
  • NPI 1013336841
  NPD Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725062400000",
    "number": "1891571725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 ARLINGTON AVE N STE 209",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013653",
            "telephone_number": "727-203-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 ARLINGTON AVE N STE 209",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013653",
            "telephone_number": "727-203-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN INTEGRATIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "727-203-5128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Acupuncturist in Florida

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