Active NPI
Lavista Acupuncture and Herbal Medicine
- Acupuncturist
- Tucker, GA
National Provider Identifier
1336659325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 310
- Legal business name
- LAVISTA ACUPUNCTURE AND HERBAL MEDICINE
- Practice address
- 4915 Lavista Rd
Tucker, GA 30084 - Phone
- (404) 528-3500
- NPI assigned
- Oct 4, 2017
- Last updated
- Jun 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Welch
- Title
- Owner
- Phone
- (404) 528-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 310 | GA | Primary |
Addresses
Primary practice location
4915 Lavista Rd
Tucker, GA 30084
Mailing address
4915 Lavista Rd
Tucker, GA 30084-8520
National Provider Directory
National Provider DirectoryLocations
4915 Lavista Rd
Tucker, GA 30084
Phone (404) 528-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528761600000",
"number": "1336659325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 LAVISTA RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300848520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 LAVISTA RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "30084",
"telephone_number": "404-528-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVISTA ACUPUNCTURE AND HERBAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-04",
"last_updated": "2018-06-12",
"status": "A",
"authorized_official_last_name": "WELCH",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-528-3500"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "GA",
"license": "310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
- Allyson C. Lange-Sost, LAC
- Tracy Maureen Lantaff, NP
- Megan Smith Larose, M.S. CCC-SLP
- Spencer Myles Lasky, DPT
- Sarah Beth Lavin, PT, DPT
- Lavista Operating Company LLC (Bentley Square)
- Byron Scott Lawrence, MS, NCC
- Janelle Layton
- LDS Family Services (LDS Family Services Georgia Agency)
- Learning Life Skills LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.