Active NPI
Proactive Wellness,LLC
- Acupuncturist
- Marlton, NJ
National Provider Identifier
1952737686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 25MZ00089700
- Legal business name
- PROACTIVE WELLNESS,LLC
- Practice address
- 230 N Maple Ave
Marlton, NJ 08053-9400 - Phone
- (856) 983-5422
- NPI assigned
- Sep 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Elizabeth Walsh, L.AC
- Title
- Business Owner
- Phone
- (609) 234-0617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 25MZ00089700 | NJ | Primary |
Addresses
Primary practice location
230 N Maple Ave
Marlton, NJ 08053-9400
Mailing address
10 Hastings CT
Marlton, NJ 08053-5332
Phone (609) 234-0617
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380672000000",
"number": "1952737686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HASTINGS CT",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080535332",
"telephone_number": "609-234-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N MAPLE AVE",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080539400",
"telephone_number": "856-983-5422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE WELLNESS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-26",
"last_updated": "2013-10-02",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "609-234-0617",
"authorized_official_credential": "L.AC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00089700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
- Letitia Price, M.D.
- Christine Ann Priest I, PHYSICIAN ASSISTANT
- Prime Dental Center of Marlton
- Primeneurophysiology LLC (Premier Neurophysiologist)
- Princeton Brain & Spine, LLC
- Charles P Procini, DDS
- Lewis Proffitt, D.M.D
- Progress and Positivity Counseling Services, LLC
- Prosperity Home Health Care LLC
- Carol D Pross, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.