Balsam Bosom Wellness and Restorative Center LLC

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Legal business name

BALSAM BOSOM WELLNESS AND RESTORATIVE CENTER LLC

Practice address

10930 US Highway 231
Wetumpka, AL 36092-5115

Phone

(334) 478-3168

NPI assigned

Apr 24, 2025

Organization subpart

No

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julia M. Kline-Fuentes

  • Mastectomy Fitter
  • Wetumpka, AL
  • NPI 1235926031

  Health & Wellness Coach

  NPD Authorized official
• Yolanda Fredrickson, CD, ICEE

  • Doula
  • Wetumpka, AL
  • NPI 1649628132
  NPD (past)

Locations

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

Authorized official

Name

Julia M. Kline-Fuentes, CFMNPI 1235926031

Title

Founder

Phone

(334) 478-3168

Specialties & licenses 9

Addresses

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1124815873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 US HIGHWAY 231",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360925115",
            "telephone_number": "334-478-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 US HIGHWAY 231",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360925115",
            "telephone_number": "334-478-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALSAM BOSOM WELLNESS AND RESTORATIVE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "KLINE-FUENTES",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "334-478-3168",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wetumpka, AL
• Mastectomy Fitter in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.