Source Empowered Wellness

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SOURCE EMPOWERED WELLNESS

Practice address

4666 Cass St Ste a
San Diego, CA 92109-2860

Phone

(619) 761-9544

NPI assigned

Dec 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Simone Ressner

Title

Owner

Phone

(619) 761-9544

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynsi Lewis, DAMC, LAC

  • Acupuncturist
  • San Diego, CA
  • NPI 1093361552
  NPD (past)
• Nicole Pfingst, L.AC

  • Acupuncturist
  • San Diego, CA
  • NPI 1336626035
  NPD (past)

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1578034310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 CASS ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092860",
            "telephone_number": "619-761-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4666 CASS ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092860",
            "telephone_number": "619-761-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE EMPOWERED WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "RESSNER",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-761-9544",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Hertzel Soumekh, M.D.
• Sound Imaging, Inc.
• Vanna Soung
• Source Acupuncture Corp
• Source Bioscience Inc
• Celesta Carla Sousa, BS
• John-Anthony Sousa
• South America Medical Network Inc
• South Bay Comprehensive Primary Care a Medical Corp
• South Bay Internal Medicine and Family Practice

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.