Healing Waters of Wny LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

HEALING WATERS OF WNY LLC

Doing business as

Healing Waters

Practice address

542 Quaker Rd
East Aurora, NY 14052-2118

Phone

(716) 655-3924

NPI assigned

Nov 8, 2017

Last updated

Nov 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis Hart

Title

Owner

Phone

(716) 308-1974

Specialties & licenses 1

Addresses

Other names 1

• Healing Waters Doing business as

Practitioners 1

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.

• Felicitas Kusch-Lango, YTR

  • Health Educator
  • East Aurora, NY
  • NPI 1376875922
  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1659884047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 QUAKER RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 QUAKER RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522118",
            "telephone_number": "716-655-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATERS OF WNY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-308-1974"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Waters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ami Jill Hariton, DDS
• Leah Harpwood
• Amy Hartl, LMT, CMLDT, BCTMB
• Carolyn Hayden, M.S. CCC-SLP
• Ellen M Hayes, PNP
• Kimberly Heeb, WHNP/CNM
• Samantha Heinaman, LMT
• Karen Margaret Herdzik, PH.D.
• Lara Kristine Herzog, PT, DPT
• Jeanne E. Hill, AU.D.

• Community Health Clinic/Center in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Community Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.