Organization Active NPI

Hum Spa

  • Community Health Worker
  • McKinleyville, CA
National Provider Identifier
1336441302
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
000000 Issued in CA
Legal business name
HUM SPA
Practice address
1585 Heartwood Dr
Suite J
McKinleyville, CA 95519-3991
Phone
(707) 839-7727
NPI assigned
Nov 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Cassie Leonhardt
Title
Owner/CMT/Esthetician
Phone
(707) 839-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X 000000 CA Primary

Addresses

Primary practice location

1585 Heartwood Dr
Suite J
McKinleyville, CA 95519-3991

Mailing address

PO Box 2835
McKinleyville, CA 95519-2835
Phone (707) 839-7727

National Provider Directory

National Provider Directory

Locations

1585 Heartwood Dr
Ste J
McKinleyville, CA 95519
Phone (707) 839-7727

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1336441302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2835",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955192835",
            "telephone_number": "707-839-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 HEARTWOOD DR",
            "address_2": "SUITE J",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193991",
            "telephone_number": "707-839-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUM SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "LEONHARDT",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "OWNER/CMT/ESTHETICIAN",
        "authorized_official_telephone_number": "707-839-7727"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinleyville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.