Organization Active NPI

Phoenix Rising: Adrian Wellness Center

  • Acupuncturist
  • Adrian, MI
National Provider Identifier
1215399217
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5401000096 Issued in MI
Legal business name
PHOENIX RISING: ADRIAN WELLNESS CENTER
Practice address
101 W Maumee St
Adrian, MI 49221-2019
Phone
(517) 759-4018
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Ms. Elizabeth L Stewart, ACUPUNCTURE PHYSICIA
Title
Owner
Phone
(517) 759-4018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 5401000096 MI Primary

Addresses

Primary practice location

101 W Maumee St
Adrian, MI 49221-2019

Mailing address

101 W Maumee St
Adrian, MI 49221-2019
Phone (517) 759-4018

National Provider Directory

National Provider Directory

Locations

101 W Maumee St
Adrian, MI 49221
Phone (517) 759-4018

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1215399217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212019",
            "telephone_number": "517-759-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212019",
            "telephone_number": "517-759-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RISING: ADRIAN WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-759-4018",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACUPUNCTURE PHYSICIA"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5401000096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.