NPIMap

Organization Active NPI

Sweet Grass Acupuncture & Wellness

  • Acupuncturist
  • Riverton, WY
National Provider Identifier
1730588591
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU 0001990 Issued in WY
Legal business name
SWEET GRASS ACUPUNCTURE & WELLNESS
Practice address
604 W Main St
Riverton, WY 82501-3338
Phone
(307) 856-8800
NPI assigned
Aug 18, 2014
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Alisha Bynum, L.AC, MSOMNPI 1770982530
Title
Owner
Phone
(307) 856-8800

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X ACU 0001990 WY Primary

Addresses

Primary practice location

604 W Main St
Riverton, WY 82501-3338

Mailing address

604 W Main St
Riverton, WY 82501-3338

National Provider Directory

National Provider Directory

Locations

604 W Main St
Riverton, WY 82501
Phone (307) 856-8800

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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1730588591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W MAIN ST",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013338",
            "telephone_number": "307-856-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET GRASS ACUPUNCTURE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-856-8800",
        "authorized_official_credential": "L.AC, MSOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WY",
            "license": "ACU 0001990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.