Earth Sky Massage and Acupuncture

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

EARTH SKY MASSAGE AND ACUPUNCTURE

Practice address

531 50TH Ave
Long Island City, NY 11101-6297

Phone

(917) 725-0299

NPI assigned

Dec 8, 2022

Organization subpart

No

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

Authorized official

Name

Kenna Bouvet, LACNPI 1689202806

Title

Owner

Phone

(269) 223-2496

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Kenna Bouvet, LAC

  • Acupuncturist
  • Long Island City, NY
  • NPI 1689202806
  NPD Authorized official

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1306557533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 50TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016297",
            "telephone_number": "917-725-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 50TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111016297",
            "telephone_number": "917-725-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH SKY MASSAGE AND ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "BOUVET",
        "authorized_official_first_name": "KENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-223-2496",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "earthskylic.com",
            "affiliation": "N",
            "address_1": "531 50th Ave",
            "city": "Long Island City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111016297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paola Lily Dvoretskaya
• Faustina Dwamena
• Marissa Dwarica
• Tyler Dymond, PT, DPT, CSCS
• Elvina Dzhemilova, R.N.
• East Coast Research & Learning Institute
• Latisha I Eboigbe, RN
• Kathleen Echevarria
• Echo Drugs II Corp. (Echo Drugs)
• Ava Edelman

• Health Service Clinic/Center in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.