Embodied Virtue

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EMBODIED VIRTUE

Practice address

307 Church St
Sandpoint, ID 83864-1344

Phone

(208) 254-1188

NPI assigned

Sep 2, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Youngs, L.AC.NPI 1073161915

Title

Member/Owner

Phone

(330) 618-8273

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Jessica Youngs, L.AC.

  • Acupuncturist
  • Sandpoint, ID
  • NPI 1073161915
  NPD Authorized official
• Jeffrey Pufnock, L.AC.

  • Acupuncturist
  • Sandpoint, ID
  • NPI 1417505355
  NPD (past)

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567382400000",
    "number": "1700434842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CHURCH ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641344",
            "telephone_number": "208-254-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CHURCH ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641344",
            "telephone_number": "208-254-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED VIRTUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A",
        "authorized_official_last_name": "YOUNGS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "330-618-8273",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "ACU-370",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "ACU-371",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krisanne Edgcomb
• Caitlyn Elikh, OTR/L
• Beaver E Eller, FNP-BC, AGACNP-BC
• Jennifer Lynn Ellison, LPC
• Mallorie Ely, LCSW
• Aidan Paul Emerson, LMT
• Kelly Jo Emerson, LMT
• Energy Electric, Inc (North Idaho Speech Language Associates)
• Erickson PT Enterprises PLLC (Lake Country Physical Therapy)
• Angelina Espinoza

• Acupuncturist in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Acupuncturist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; 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.