Grand Health Wellness & Acupuncture LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2006033498 Issued in MO

Legal business name

GRAND HEALTH WELLNESS & ACUPUNCTURE LLC

Practice address

4800 Mexico Rd
Suite 101
Saint Peters, MO 63376-1666

Phone

(314) 690-1525

Fax

(636) 442-5036

NPI assigned

May 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Patt, D.C.NPI 1265579486

Title

President

Phone

(314) 690-1525

Specialties & licenses 1

Addresses

Other names 1

• Spine & Neurology Consultants Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• Lisa Marie Patt, D.C.

  • Chiropractor
  • Saint Peters, MO
  • NPI 1265579486
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1194135897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MEXICO RD",
            "address_2": "SUITE 101",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "314-690-1525",
            "fax_number": "636-442-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEXICO RD",
            "address_2": "SUITE 101",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761666",
            "telephone_number": "314-690-1525",
            "fax_number": "636-442-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND HEALTH WELLNESS & ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "PATT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-690-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": "2006033498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine & Neurology Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Gore
• Abbey Goslin
• Grace Consumer Directed Services LLC
• Stephanie Graham, NP
• Julia Gran, PHARM.D
• Grandeur Home Health Services LLC
• Nancy Graser
• Sheryl K Grau, P.T.
• Anna Marie Graven, LPC
• Timothy G Graven, D.O.

• Health Service Clinic/Center in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.