NPIMap

Organization Active NPI

Blossom Acupuncture & Wellness

  • Acupuncturist
  • Austin, TX
National Provider Identifier
1780083550
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
01458 Issued in TX
Legal business name
BLOSSOM ACUPUNCTURE & WELLNESS
Practice address
11651 Jollyville Rd Ste 150
Austin, TX 78759-4106
Phone
(512) 850-5697
NPI assigned
Aug 18, 2014
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
Jennie Stiles Baldwin, LACNPI 1598177081
Title
Owner/Acupuncturist
Phone
(512) 850-5697

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 01458 TX Primary

Addresses

Primary practice location

11651 Jollyville Rd Ste 150
Austin, TX 78759-4106

Mailing address

2008 Simond Ave Apt D
Austin, TX 78723-4555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1780083550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 SIMOND AVE APT D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787234555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11651 JOLLYVILLE RD STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594106",
            "telephone_number": "512-850-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM ACUPUNCTURE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "STILES",
        "authorized_official_title_or_position": "OWNER/ACUPUNCTURIST",
        "authorized_official_telephone_number": "512-850-5697",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "01458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

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.