Active NPI
Radix Wellness, LLC
- Acupuncturist
- Memphis, TN
National Provider Identifier
1568008795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- RADIX WELLNESS, LLC
- Practice address
- 1314 Peabody Ave
Memphis, TN 38104-3500 - Phone
- (901) 321-5803
- NPI assigned
- Nov 22, 2019
- Organization subpart
- Yes
- Parent organization
- RADIX WELLLNESS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melissa L Padgett
- Title
- Partner
- Phone
- (901) 828-8019
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | |||
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | |||
| Acupuncturist | 171100000X | Primary | ||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Physical Therapist | 225100000X | |||
| Massage Therapist | 225700000X | |||
| Nurse Practitioner | 363L00000X | |||
| Women's Health Nurse Practitioner | 363LW0102X |
Addresses
Primary practice location
1314 Peabody Ave
Memphis, TN 38104-3500
Mailing address
1314 Peabody Ave
Memphis, TN 38104-3500
National Provider Directory
National Provider Directory- Tax ID family
- Radix Wellness LLC
- Part of
- Radix Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Memphis, TN
- NPI 1497244909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574380800000",
"number": "1568008795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 PEABODY AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 PEABODY AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043500",
"telephone_number": "901-321-5803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIX WELLNESS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RADIX WELLLNESS LLC",
"enumeration_date": "2019-11-22",
"last_updated": "2019-11-22",
"status": "A",
"authorized_official_last_name": "PADGETT",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "901-828-8019",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.