Organization Active NPI

Anew Holistic LLC

  • Chiropractor
  • Jeffersonville, IN
National Provider Identifier
1235985698
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ANEW HOLISTIC LLC
Practice address
590 Missouri Ave Ste 206D
Jeffersonville, IN 47130-3084
Phone
(812) 913-5136
NPI assigned
Apr 26, 2024
Last updated
Apr 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Amanda NunierNPI 1346517711
Title
Owner
Phone
(812) 913-5136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

590 Missouri Ave Ste 206D
Jeffersonville, IN 47130-3084

Mailing address

590 Missouri Ave Ste 206D
Jeffersonville, IN 47130-3084

National Provider Directory

National Provider Directory

Locations

590 Missouri Ave
Ste 206D
Jeffersonville, IN 47130
Phone (812) 913-5136

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": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1235985698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MISSOURI AVE STE 206D",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MISSOURI AVE STE 206D",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303084",
            "telephone_number": "812-913-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW HOLISTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "NUNIER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-913-5136"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.