Active NPI
Promise Integrative Medicine Clinic Ri
- Acupuncturist
- Warwick, RI
National Provider Identifier
1013415678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- DAOM0056
- Legal business name
- PROMISE INTEGRATIVE MEDICINE CLINIC RI
- Practice address
- 2095 Elmwood Ave Ste 1
Warwick, RI 02888-2405 - Phone
- (401) 787-1608
- Fax
- (401) 633-7610
- NPI assigned
- Jan 30, 2018
- Organization subpart
- Yes
- Parent organization
- PROMISE INTEGRATIVE MEDICINE CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hyun Soo Yeo, DAOM
- Title
- Doctor of Acupuncture Oriental Medi
- Phone
- (213) 222-7481
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | DAOM0056 | RI | Primary |
Addresses
Primary practice location
2095 Elmwood Ave Ste 1
Warwick, RI 02888-2405
Mailing address
535 Roosevelt Ave Apt 611
Central Falls, RI 02863-3204
National Provider Directory
National Provider Directory- Part of
- Promise Integrative Medicine Clinic
Locations
2095 Elmwood Ave
Ste 1
Warwick, RI 02888
Phone (213) 222-7481
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Wellesley, MA
- NPI 1508113796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517270400000",
"number": "1013415678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 ROOSEVELT AVE APT 611",
"city": "CENTRAL FALLS",
"state": "RI",
"postal_code": "028633204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 ELMWOOD AVE STE 1",
"city": "WARWICK",
"state": "RI",
"postal_code": "028882405",
"telephone_number": "401-787-1608",
"fax_number": "401-633-7610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMISE INTEGRATIVE MEDICINE CLINIC RI",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROMISE INTEGRATIVE MEDICINE CLINIC",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A",
"authorized_official_last_name": "YEO",
"authorized_official_first_name": "HYUN SOO",
"authorized_official_title_or_position": "DOCTOR OF ACUPUNCTURE ORIENTAL MEDI",
"authorized_official_telephone_number": "213-222-7481",
"authorized_official_credential": "DAOM"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "RI",
"license": "DAOM0056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.