Organization Active NPI

Well Within Healing Arts LLC

  • Acupuncturist
  • Longmont, CO
National Provider Identifier
1790164515
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-0001867 Issued in CO
Legal business name
WELL WITHIN HEALING ARTS LLC
Practice address
910 Plateau Rd
Longmont, CO 80504-7615
Phone
(970) 596-7585
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Reilly Jernigan, LACNPI 1174929491
Title
Owner
Phone
(970) 596-7585

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X ACU-0001867 CO Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MT-0004081 CO

Addresses

Primary practice location

910 Plateau Rd
Longmont, CO 80504-7615

Mailing address

910 Plateau Rd
Longmont, CO 80504-7615
Phone (970) 596-7585

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": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1790164515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 PLATEAU RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805047615",
            "telephone_number": "970-596-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 PLATEAU RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805047615",
            "telephone_number": "970-596-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL WITHIN HEALING ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "REILLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-596-7585",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU-0001867",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT-0004081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.