Organization Active NPI

Awaken and Bloom, LLC

  • Acupuncturist
  • Salt Lake City, UT
National Provider Identifier
1396558920
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
AWAKEN AND BLOOM, LLC
Practice address
1345 E 3900 S Ste 102
Salt Lake City, UT 84124-4402
Phone
(385) 279-2410
NPI assigned
Jan 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Heather Seay, LACNPI 1750612198
Title
Owner
Phone
(801) 657-1476

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1345 E 3900 S Ste 102
Salt Lake City, UT 84124-4402

Mailing address

356 E Saunders St
Salt Lake City, UT 84107-6015
Phone (801) 657-1476

National Provider Directory

National Provider Directory

Locations

1345 E 3900 S
Ste 102
Slc, UT 84124
Phone (385) 279-2410

Practitioners & affiliated clinicians

Practitioners 1

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": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1396558920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E SAUNDERS ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076015",
            "telephone_number": "801-657-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E 3900 S STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244402",
            "telephone_number": "385-279-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN AND BLOOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "SEAY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-657-1476",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.