NPIMap

Organization Active NPI

Live Well: Upstate Center for Natural Health LLC

  • Acupuncturist
  • Elmira, NY
National Provider Identifier
1598270209
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
004530-1 Issued in NY
Legal business name
LIVE WELL: UPSTATE CENTER FOR NATURAL HEALTH LLC
Practice address
408 W Church St
Elmira, NY 14901-2603
Phone
(607) 733-3373
NPI assigned
Dec 5, 2017
Last updated
Dec 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Mr. Seamus Dean Kennedy, LACNPI 1912273574
Title
Licensed Acupuncturist
Phone
(607) 733-3373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 005959 NY
Acupuncturist 171100000X 004530-1 NY Primary
Massage Therapist 225700000X 016490-1 NY
Massage Therapist 225700000X 029330 NY

Addresses

Primary practice location

408 W Church St
Elmira, NY 14901-2603

Mailing address

408 W Church St
Elmira, NY 14901-2603
Phone (607) 733-3373

Other identifiers 2

IdentifierTypeStateIssuer
1184137085OtherNYN/A
1912273574OtherNYN/A

Other names 1

  • Live Well Upstate Other name

National Provider Directory

National Provider Directory

Locations

408 W Church St
Elmira, NY 14901
Phone (607) 731-4362

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1598270209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012603",
            "telephone_number": "607-733-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012603",
            "telephone_number": "607-733-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL: UPSTATE CENTER FOR NATURAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SEAMUS",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURIST",
        "authorized_official_telephone_number": "607-733-3373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005959",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004530-1",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "016490-1",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "029330",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1184137085",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1912273574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well Upstate",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.