Organization Active NPI

East Wind Wellness Incorporated

  • Acupuncturist
  • Highland, IN
National Provider Identifier
1255849915
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
84000190A Issued in IN
Legal business name
EAST WIND WELLNESS INCORPORATED
Practice address
9501 Indianapolis Blvd Ste 1a
Highland, IN 46322-2664
Phone
(219) 595-5529
Fax
(219) 513-9273
NPI assigned
Jan 16, 2018
Last updated
Jan 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Authorized official

Name
Mr. Timothy David Schlank, LACNPI 1174053250
Title
Ceo
Phone
(219) 242-9958

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
Acupuncturist 171100000X 84000190A IN Primary

Addresses

Primary practice location

9501 Indianapolis Blvd Ste 1a
Highland, IN 46322-2664

Mailing address

3812 Crosby Dr
Valparaiso, IN 46383-6223
Phone (219) 242-9958

National Provider Directory

National Provider Directory

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": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1255849915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 CROSBY DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836223",
            "telephone_number": "219-242-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 INDIANAPOLIS BLVD STE 1A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222664",
            "telephone_number": "219-595-5529",
            "fax_number": "219-513-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WIND WELLNESS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "SCHLANK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-242-9958",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000190A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.