Active NPI
The Wellness Center
- Acupuncturist
- Smith River, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC7529
- Legal business name
- THE WELLNESS CENTER
- Practice address
- 415 Highland Ave
Smith River, CA 95567-9519 - Phone
- (707) 487-4444
- NPI assigned
- Jun 2, 2015
- Last updated
- Jun 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jody Lynn Mangum, MSOM
- Title
- Licensed Acupuncturist/ Owner
- Phone
- (707) 487-4444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC7529 | CA | Primary |
Addresses
Primary practice location
415 Highland Ave
Smith River, CA 95567-9519
Mailing address
415 Highland Ave
Smith River, CA 95567-9519
Phone (707) 487-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548387616 | Other | CA | NPPES |
National Provider Directory
National Provider Directory- Tax ID family
- The Wellness Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Crescent City, CA
- NPI 1013384312
Locations
415 Highland Ave
Smith River, CA 95567
Phone (707) 487-2211
Practitioners & affiliated clinicians
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.
-
- Acupuncturist
- Crescent City, CA
- NPI 1548387616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433203200000",
"number": "1669852968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 HIGHLAND AVE",
"city": "SMITH RIVER",
"state": "CA",
"postal_code": "955679519",
"telephone_number": "707-487-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 HIGHLAND AVE",
"city": "SMITH RIVER",
"state": "CA",
"postal_code": "955679519",
"telephone_number": "707-487-4444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-02",
"last_updated": "2015-06-02",
"status": "A",
"authorized_official_last_name": "MANGUM",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "LICENSED ACUPUNCTURIST/ OWNER",
"authorized_official_telephone_number": "707-487-4444",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSOM"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1548387616",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smith River, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.