Sprouted Heart Acupuncture and Wellness, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SPROUTED HEART ACUPUNCTURE AND WELLNESS, LLC

Practice address

200 Park Circle Dr Ste 4
Flowood, MS 39232-7800

Phone

(601) 487-1614

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Jerusha Degroote Stephens, LACNPI 1316287675

Title

Owner

Phone

(601) 487-1614

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jerusha Degroote Stephens, LAC

  • Acupuncturist
  • Jackson, MS
  • NPI 1316287675
  NPD Authorized official

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1639776032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARK CIRCLE DR STE 4",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327800",
            "telephone_number": "601-487-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK CIRCLE DR STE 4",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327800",
            "telephone_number": "601-487-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTED HEART ACUPUNCTURE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "JERUSHA",
        "authorized_official_middle_name": "DEGROOTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-487-1614",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Edwin Speights, M.D.
• Mary Kendall Spell, M.S., CCC-SLP
• Sports Medicine Pharmacy LLC (Sports Medicine Pharmacy)
• Sports Therapy Center
• Charleen Brown Sproles, LPC
• St. Dominic Medical Associates Inc (Family Practice Associates Flowood)
• St. Dominic Medical Associates LLC (Family Practice Associates)
• Sta-Home Hospice of Mississippi, Inc. (AccentCare Hospice & Palliative Care of Mississippi)
• Hailey Stacy
• Alan E. Stallings Jr., M.D.

• Acupuncturist in Flowood, MS
• Providers in Flowood, MS by specialty
• Acupuncturist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.