Magnolia Natural Healing LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

MAGNOLIA NATURAL HEALING LLC

Practice address

1554 NE 4TH Street
Midtown Wellness Center
Bend, OR 97701

Phone

(541) 550-0847

Fax

(541) 209-5570

NPI assigned

Feb 22, 2022

Last updated

Jun 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lea Corrina White, L.AC.NPI 1043755390

Title

Owner/Acupuncturist

Phone

(541) 550-0847

Specialties & licenses 1

Addresses

Locations

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.

• Lea C White, LIC.AC.

  • Acupuncturist
  • Bend, OR
  • NPI 1043755390
  NPD Authorized official

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654992000000",
    "number": "1225784937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8629",
            "address_2": "C/O LEA WHITE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977088629",
            "telephone_number": "978-270-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 NE 4TH STREET",
            "address_2": "MIDTOWN WELLNESS CENTER",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-550-0847",
            "fax_number": "541-209-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA NATURAL HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "CORRINA",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "541-550-0847",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zackary Hoyt Madison, LCSW
• Victoria Maffeo
• Gerald E Magaro, M.A.
• Kathy Magee
• Anna Mages
• Katharine Eileen Maguire, PT
• Loren Mahaffey, LMT
• James Widmann Mahoney, MD
• Fiona Athena Mains, OTD
• Michael John Majerczyk, O.D.

• Acupuncturist in Bend, OR
• Providers in Bend, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.