Fertile Spring, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

FERTILE SPRING, LLC

Doing business as

Fertile Spring Acupuncture & Reproductive Wellness

Practice address

235 W D St
Jacksonville, OR 97530-0038

Phone

(541) 838-0980

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By 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

Tara Anderson, L.AC., FABORMNPI 1649636788

Title

Owner

Phone

(541) 838-0980

Specialties & licenses 1

Addresses

Other names 1

• Fertile Spring Acupuncture & Reproductive Wellness Doing business as

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.

• Tara Anderson, L.AC., FABORM

  • Acupuncturist
  • Jacksonville, OR
  • NPI 1649636788
  NPD Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1790518124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975300895",
            "telephone_number": "541-838-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W D ST",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975300038",
            "telephone_number": "541-838-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILE SPRING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-838-0980",
        "authorized_official_credential": "L.AC., FABORM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fertile Spring Acupuncture & Reproductive Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Jacksonville, OR
• Providers in Jacksonville, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.