Organization Active NPI

Blue Pearl Yoga

  • Health Educator
  • Batavia, NY
National Provider Identifier
1124612049
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
BLUE PEARL YOGA
Practice address
200 E Main St
Batavia, NY 14020-2200
Phone
(585) 201-7310
NPI assigned
Feb 22, 2021
Last updated
Feb 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Karen ReisdorfNPI 1952676090
Title
Admin
Phone
(301) 848-4902

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

200 E Main St
Batavia, NY 14020-2200

Mailing address

200 E Main St
Batavia, NY 14020-2200
Phone (585) 201-7310

National Provider Directory

National Provider Directory

Locations

200 E Main St
Batavia, NY 14020
Phone (585) 201-7310

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1124612049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202200",
            "telephone_number": "585-201-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202200",
            "telephone_number": "585-201-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE PEARL YOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "REISDORF",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "301-848-4902"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.