Organization Active NPI

Lavista Acupuncture and Herbal Medicine

  • Acupuncturist
  • Tucker, GA
National Provider Identifier
1336659325
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
310 Issued in GA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.