Active NPI
Vickie Dyal
- Acupuncturist
- Alachua, FL
National Provider Identifier
1902376189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3996
- Practice address
- 14804 NW 140TH St
Alachua, FL 32615-6276 - Phone
- (386) 462-0020
- NPI assigned
- Nov 29, 2018
- 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 | AP3996 | FL | Primary |
Addresses
Primary practice location
14804 NW 140TH St
Alachua, FL 32615-6276
Mailing address
16653 NW 167TH PL
Alachua, FL 32615-8908
Phone (352) 316-3631
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 |
|---|---|---|---|
| AP3996 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1902376189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16653 NW 167TH PL",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326158908",
"telephone_number": "352-316-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14804 NW 140TH ST",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326156276",
"telephone_number": "386-462-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYAL",
"first_name": "VICKIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alachua, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.