Meridian Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MERIDIAN WELLNESS, LLC

Doing business as

Thousand Lakes Health Center

Practice address

842 W Hwy 12
Boulder, UT 84716

Phone

(435) 335-7700

NPI assigned

Jan 18, 2019

Last updated

Jan 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leilani Navar, L.AC.NPI 1851635833

Title

Acupuncturist

Phone

(802) 999-5936

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thousand Lakes Health Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leilani Navar, L.AC.

  • Acupuncturist
  • Boulder, UT
  • NPI 1851635833
  NPD (past) Authorized official

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1093289472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "BOULDER",
            "state": "UT",
            "postal_code": "847161497",
            "telephone_number": "435-335-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 W HWY 12",
            "city": "BOULDER",
            "state": "UT",
            "postal_code": "84716",
            "telephone_number": "435-335-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "NAVAR",
        "authorized_official_first_name": "LEILANI",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "802-999-5936",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1851635833",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thousand Lakes Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leilani Navar, L.AC.
• Rosemary Wells, LPC

• Clinic/Center in Boulder, UT
• Providers in Boulder, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.