Tree of Life Integrative Medicine LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1085 Issued in NM

Legal business name

TREE OF LIFE INTEGRATIVE MEDICINE LLC

Practice address

826 Camino de Monte Rey Ste A4
Santa Fe, NM 87505-3961

Phone

(505) 231-4261

Fax

(505) 986-6005

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By 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

Eric Brunn, D.O.M.NPI 1922342765

Title

Dr of Oriental Medicine

Phone

(505) 231-4261

Specialties & licenses 1

Addresses

Locations

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.

• Eric Brunn, DOM

  • Acupuncturist
  • Santa Fe, NM
  • NPI 1922342765
  NPD (past) Authorized official

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1437585221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 CAMINO DE MONTE REY STE A4",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053961",
            "telephone_number": "505-231-4261",
            "fax_number": "505-986-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CAMINO DE MONTE REY STE A4",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053961",
            "telephone_number": "505-231-4261",
            "fax_number": "505-986-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "BRUNN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DR OF ORIENTAL MEDICINE",
        "authorized_official_telephone_number": "505-231-4261",
        "authorized_official_credential": "D.O.M."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Andrew Trapp, DOM
• Erin Moriah Trask, LMSW
• Trauma Therapy of New Mexico LLC (Laurie Pryor, MA, LPCC)
• Tor Travis, LCSW
• Treatment Solutions, LLC (Solutions Treatment Center)
• Tree of Life NM
• Chelsea Treiber, MA, LMHC
• Nataly Sujey Trejo Deras
• Mariah N Trevizo
• Selina Trevizo

• Acupuncturist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.