Lavender Moon Acupuncture

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

LAVENDER MOON ACUPUNCTURE

Practice address

1019 Harvin Way Ste 110
Rockledge, FL 32955-3286

Phone

(321) 292-1844

NPI assigned

Jul 25, 2019

Organization subpart

No

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

Authorized official

Name

Heather Poole Smith

Title

Owner/Director

Phone

(321) 292-1844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1992359103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 HARVIN WAY STE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553286",
            "telephone_number": "321-292-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 HARVIN WAY STE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553286",
            "telephone_number": "321-292-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER MOON ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "POOLE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "321-292-1844"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristen Leigh Laurella, ARNP, FNP-C
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• Reese Lebarge-Graham
• Cecilia I Leblanc, BCBA

• All providers in Rockledge, FL
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.