Active NPI
William G Tye III
- Acupuncturist
- Port St Lucie, FL
National Provider Identifier
1972669653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP1293
- Practice address
- 201 NW Saint James Dr
Suite C
Port St Lucie, FL 34983-1291 - Phone
- (772) 249-9450
- Fax
- (772) 249-0701
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | AP1293 | FL | Primary |
Addresses
Primary practice location
201 NW Saint James Dr
Suite C
Port St Lucie, FL 34983-1291
Mailing address
201 NW Saint James Dr
Suite C
Port St Lucie, FL 34983-1291
Phone (772) 249-9450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0648 | Other | FL | BLUECROSS BLUESHIELD |
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 |
|---|---|---|---|
| AP1293 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1972669653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NW SAINT JAMES DR",
"address_2": "SUITE C",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349831291",
"telephone_number": "772-249-9450",
"fax_number": "772-249-0701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NW SAINT JAMES DR",
"address_2": "SUITE C",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349831291",
"telephone_number": "772-249-9450",
"fax_number": "772-249-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYE",
"first_name": "WILLIAM",
"middle_name": "G",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP1293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "C0648",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.