Awakenings Acupuncture & Herbal Clinic, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU-206 Issued in ID

Legal business name

AWAKENINGS ACUPUNCTURE & HERBAL CLINIC, LLC

Practice address

9751 N Government Way
Ste 1
Hayden, ID 83835-9645

Phone

(208) 660-6777

Fax

(208) 772-7737

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jeanette K. Morris, LACNPI 1942553417

Title

Manager

Phone

(208) 660-6777

Specialties & licenses 1

Addresses

Locations

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.

• Jeanette K Morris, LAC

  • Acupuncturist
  • Hayden, ID
  • NPI 1942553417
  NPD (past) Authorized official

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1790029650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 N GOVERNMENT WAY",
            "address_2": "STE 1",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359645",
            "telephone_number": "208-660-6777",
            "fax_number": "208-772-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 N GOVERNMENT WAY",
            "address_2": "STE 1",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359645",
            "telephone_number": "208-660-6777",
            "fax_number": "208-772-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENINGS ACUPUNCTURE & HERBAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-660-6777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.