Active NPI
Alexandra Evangeline Clinton, L.AC
- Acupuncturist
- Lakeland, FL
National Provider Identifier
1922266188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2577
- Practice address
- 6645 N Socrum Loop Rd
Lakeland, FL 33809-4182 - Phone
- (863) 853-3000
- NPI assigned
- May 23, 2008
- 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 | AP2577 | FL | Primary |
Addresses
Primary practice location
6645 N Socrum Loop Rd
Lakeland, FL 33809-4182
Mailing address
1443 Covey Cir N
Lakeland, FL 33809-4698
Phone (815) 914-1179
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 |
|---|---|---|---|
| AP2577 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munday Chiropractic Clinic P a | Past | Accepting new patients |
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.
-
- Chiropractor
- Lakeland, FL
- NPI 1689791683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1922266188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1443 COVEY CIR N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338094698",
"telephone_number": "815-914-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6645 N SOCRUM LOOP RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338094182",
"telephone_number": "863-853-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINTON",
"first_name": "ALEXANDRA",
"middle_name": "EVANGELINE",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.