Organization Active NPI

Live Oak Acupupuncture & Herbal Medicine, PLLC

Doing business as Live Oak Acupupuncture & Wellness Center

  • Acupuncturist
  • Waco, TX
National Provider Identifier
1740610666
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00703 Issued in TX
Legal business name
LIVE OAK ACUPUPUNCTURE & HERBAL MEDICINE, PLLC
Doing business as
Live Oak Acupupuncture & Wellness Center
Practice address
201 Old Hewitt Road
Suite D
Waco, TX 76712
Phone
(254) 741-6030
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Kristen Horner Warren, L.AC.NPI 1952428203
Title
Owner
Phone
(254) 741-6030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC00703 TX Primary

Addresses

Primary practice location

201 Old Hewitt Road
Suite D
Waco, TX 76712

Mailing address

201 Old Hewitt Road
Suite D
Waco, TX 76712
Phone (254) 741-6030

Other names 1

  • Live Oak Acupupuncture & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

201 Old Hewitt Rd
Ste D
Waco, TX 76712
Phone (254) 741-6030

1221 Hewitt Dr
Ste C
Waco, TX 76712
Phone (254) 420-4669

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": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1740610666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OLD HEWITT ROAD",
            "address_2": "SUITE D",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-741-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OLD HEWITT ROAD",
            "address_2": "SUITE D",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-741-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK ACUPUPUNCTURE & HERBAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "HORNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-741-6030",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Acupupuncture & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.