Breath of Life Acupuncture & Wellness PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1050 Issued in AZ

Legal business name

BREATH OF LIFE ACUPUNCTURE & WELLNESS PLLC

Practice address

2105 Demerse Ave
Prescott, AZ 86301-1013

Phone

(928) 713-3833

NPI assigned

Sep 6, 2017

Last updated

Sep 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer RosemanNPI 1487197992

Title

Member

Phone

(928) 713-3833

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Roseman, L.AC.

  • Acupuncturist
  • Prescott, AZ
  • NPI 1487197992
  NPD (past) Authorized official

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1376061762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 DEMERSE AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 DEMERSE AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011013",
            "telephone_number": "928-713-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE ACUPUNCTURE & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "ROSEMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-713-3833"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "1050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradshaw Mountain Diagnostic Laboratory Inc.
• Diana Brady, APRN, FNP-C
• Paul L Braithwaite, DO
• Mark Branson, LPC
• Susan Kay Braverman, RN
• Susan Lynn Brenchley, LCSW
• Destiny Brennan, RD, RN
• Kelly Anne Brewer, RRT
• Emily Brewton, PA-C
• Robert Bricker, M.D.

• Acupuncturist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.