Organization Active NPI

Absolute Complementary Medicine LLC

  • Acupuncturist
  • Vero Beach, FL
National Provider Identifier
1972839264
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2563 Issued in FL
Legal business name
ABSOLUTE COMPLEMENTARY MEDICINE LLC
Practice address
3740 20TH St
Suite B
Vero Beach, FL 32960-2418
Phone
(772) 766-4418
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Ms. Vickie H. Shannon
Title
Managing Member
Phone
(772) 501-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP2563 FL Primary

Addresses

Primary practice location

3740 20TH St
Suite B
Vero Beach, FL 32960-2418

Mailing address

3740 20TH St
Suite B
Vero Beach, FL 32960-2418
Phone (772) 766-4418

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1972839264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 20TH ST",
            "address_2": "SUITE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602418",
            "telephone_number": "772-766-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 20TH ST",
            "address_2": "SUITE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602418",
            "telephone_number": "772-766-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE COMPLEMENTARY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "772-501-1249",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.