Organization Active NPI

Live Well Medicine, LLC

  • Acupuncturist
  • Hershey, PA
National Provider Identifier
1821444613
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
OM000149 Issued in PA
Legal business name
LIVE WELL MEDICINE, LLC
Practice address
203 W Caracas Ave Ste 203
Hershey, PA 17033-1567
Phone
(717) 832-4111
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Justin Douglas Weinstein, M.AC., M.OM
Title
Owner, Acupuncturist
Phone
(717) 832-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X OM000149 PA Primary

Addresses

Primary practice location

203 W Caracas Ave Ste 203
Hershey, PA 17033-1567

Mailing address

203 W Caracas Ave Ste 203
Hershey, PA 17033-1567
Phone (717) 832-4111

National Provider Directory

National Provider Directory

Locations

203 W Caracas Ave
Ste 203
Hershey, PA 17033
Phone (410) 794-6186

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": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1821444613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W CARACAS AVE STE 203",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331567",
            "telephone_number": "717-832-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W CARACAS AVE STE 203",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331567",
            "telephone_number": "717-832-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "717-832-4111",
        "authorized_official_credential": "M.AC., M.OM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.