NPIMap

Organization Active NPI

Axis Natural Medicine, LLC

  • Acupuncturist
  • Fort Myers, FL
National Provider Identifier
1326311770
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP2378 Issued in FL
Legal business name
AXIS NATURAL MEDICINE, LLC
Practice address
7680 Cambridge Manor PL
Suite 100
Fort Myers, FL 33907-3671
Phone
(239) 288-0900
Fax
(239) 985-9470
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Graydon Snow, AP, DOMNPI 1871762302
Title
Owner
Phone
(239) 288-0900

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8741 FL
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2378 FL Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2869 FL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA46855 FL

Addresses

Primary practice location

7680 Cambridge Manor PL
Suite 100
Fort Myers, FL 33907-3671

Mailing address

7680 Cambridge Manor PL
Suite 100
Fort Myers, FL 33907-3671
Phone (239) 288-0900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1326311770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7680 CAMBRIDGE MANOR PL",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073671",
            "telephone_number": "239-288-0900",
            "fax_number": "239-985-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7680 CAMBRIDGE MANOR PL",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073671",
            "telephone_number": "239-288-0900",
            "fax_number": "239-985-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS NATURAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "GRAYDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-288-0900",
        "authorized_official_credential": "AP, DOM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8741",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2378",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2869",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA46855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.