Active NPI
Caroline Gossage Faxas, A.P.
- Acupuncturist
- Delray Beach, FL
National Provider Identifier
1972887164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP 3023
- Practice address
- 103 NE 2ND Ave
Delray Beach, FL 33444-3703 - Phone
- (561) 455-2147
- Fax
- (561) 455-2762
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- 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 | AP 3023 | FL | Primary |
Addresses
Primary practice location
103 NE 2ND Ave
Delray Beach, FL 33444-3703
Mailing address
3336 Old Oak LN
Hollywood, FL 33021-8438
Phone (954) 243-9093
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 |
|---|---|---|---|
| AP 3023 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oriental Medicine Holistic Health Care Inc. | Acupuncturist | 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.
-
- Acupuncturist
- Hallandale Beach, FL
- NPI 1417220385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1972887164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3336 OLD OAK LN",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218438",
"telephone_number": "954-243-9093",
"fax_number": "954-333-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 NE 2ND AVE",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334443703",
"telephone_number": "561-455-2147",
"fax_number": "561-455-2762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAXAS",
"first_name": "CAROLINE",
"middle_name": "GOSSAGE",
"credential": "A.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP 3023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.