Organization Active NPI

Nourishing Life

  • Health Service Clinic/Center
  • Bellport, NY
National Provider Identifier
1548738289
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NOURISHING LIFE
Practice address
10 Station CT
Bellport, NY 11713-2453
Phone
(631) 403-7689
NPI assigned
Nov 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Alyssa Easley, LAC
Title
Acupuncturist
Phone
(631) 403-7689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

10 Station CT
Bellport, NY 11713-2453

Mailing address

10 Station CT
Bellport, NY 11713-2453
Phone (631) 681-2580

National Provider Directory

National Provider Directory

Locations

10 Station Ct
Bellport, NY 11713
Phone (631) 286-5710

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": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1548738289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STATION CT",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132453",
            "telephone_number": "631-681-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STATION CT",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132453",
            "telephone_number": "631-403-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "631-403-7689",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.