Organization Active NPI

5 Elements Health & Wellness, LLC

  • Clinic/Center
  • Mount Pleasant, WI
National Provider Identifier
1194009563
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
734-055 Issued in WI
Legal business name
5 ELEMENTS HEALTH & WELLNESS, LLC
Practice address
1524 S Green Bay Rd
Back in Action/5 Elements
Mount Pleasant, WI 53406-5788
Phone
(262) 884-7580
Fax
(262) 884-7589
NPI assigned
Oct 4, 2011
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Sarah R Beier-Abdelmawgoud, L.ACNPI 1750665113
Title
Owner
Phone
(414) 418-8187

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 734-055 WI Primary

Addresses

Primary practice location

1524 S Green Bay Rd
Back in Action/5 Elements
Mount Pleasant, WI 53406-5788

Mailing address

1335 Lakeview Ave
South Milwaukee, WI 53172-3533
Phone (414) 418-8187

National Provider Directory

National Provider Directory

Locations

1524 S Green Bay Rd
#5
Mount Pleasant, WI 53406
Phone (262) 884-7580

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": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1194009563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 LAKEVIEW AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723533",
            "telephone_number": "414-418-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 S GREEN BAY RD",
            "address_2": "BACK IN ACTION/5 ELEMENTS",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534065788",
            "telephone_number": "262-884-7580",
            "fax_number": "262-884-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 ELEMENTS HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BEIER-ABDELMAWGOUD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-418-8187",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "734-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.