Active NPI
Good Life Healing Center LLC
- Acupuncturist
- Bradenton, FL
National Provider Identifier
1972879096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3090
- Legal business name
- GOOD LIFE HEALING CENTER LLC
- Practice address
- 5325 Lena Rd Ste 101
Bradenton, FL 34211-9442 - Phone
- (941) 301-8485
- Fax
- (941) 799-6841
- NPI assigned
- Mar 23, 2012
- 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
- Hilary Guseman
- Title
- Bookkeeper
- Phone
- (941) 301-8485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP3090 | FL | Primary |
Addresses
Primary practice location
5325 Lena Rd Ste 101
Bradenton, FL 34211-9442
Mailing address
7401 50TH Ter E
Bradenton, FL 34203-7903
Phone (941) 567-6465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5325 Lena Rd
#101
Bradenton, FL 34211
Phone (941) 301-8485
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Sarasota, FL
- NPI 1285695668
-
- Gerontology Nurse Practitioner
- Coconut Creek, FL
- NPI 1700421450
-
- Acupuncturist
- Bradenton, FL
- NPI 1710252846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1972879096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 50TH TER E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342037903",
"telephone_number": "941-567-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 LENA RD STE 101",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342119442",
"telephone_number": "941-301-8485",
"fax_number": "941-799-6841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LIFE HEALING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-23",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "GUSEMAN",
"authorized_official_first_name": "HILARY",
"authorized_official_title_or_position": "BOOKKEEPER",
"authorized_official_telephone_number": "941-301-8485"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.