Gwyn Feller, Dom, Ap, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP2804 Issued in FL

Legal business name

GWYN FELLER, DOM, AP, LLC

Practice address

2575 Harn Blvd
Clearwater, FL 33764-3211

Phone

(727) 458-3942

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Gwyn Purdue Feller, DOM, APNPI 1467775775

Title

Owner/Sole Member

Phone

(727) 458-3942

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwyn Purdue Feller, AP

  • Acupuncturist
  • Clearwater, FL
  • NPI 1467775775
  NPD (past) Authorized official

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1912286287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10919 111TH ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337784004",
            "telephone_number": "727-458-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 HARN BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643211",
            "telephone_number": "727-458-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWYN FELLER, DOM, AP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "GWYN",
        "authorized_official_middle_name": "PURDUE",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "727-458-3942",
        "authorized_official_credential": "DOM, AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.