Active NPI
Nourishing Life
- Health Service Clinic/Center
- Bellport, NY
National Provider Identifier
1548738289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Acupuncturist
- Waxhaw, NC
- NPI 1962970186
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.