NPI Code Detail JSON Logo

1245891621 NPI number — HEALING ARTS WELLNESS LLC

NPI Number: 1245891621
Health Care Provider/Practitioner: HEALING ARTS WELLNESS LLC

Information about “1245891621” NPI (HEALING ARTS WELLNESS LLC) exists in 1245891621 in HTML format HTML  |  1245891621 in plain Text format TXT  |  1245891621 in PDF (Portable Document Format) PDF  |  1245891621 in an XML format XML  formats.

NPI Number : 1245891621 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245891621",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HEALING ARTS WELLNESS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6017 SOUTHPORT DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BETHESDA",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20814-1847",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-498-5286",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "TAVO TOTAL HEALTH",
    "SecondLinePracticeLocationAddress": "407 LEIGHTON AVE",
    "PracticeLocationAddressCityName": "SILVER SPRING",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "240-630-0597",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/26/2019",
    "LastUpdateDate": "06/26/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "IVANILOVA",
    "AuthorizedOfficialFirstName": "JULIYA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MASSAGE THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMT",
    "AuthorizedOfficialTelephoneNumber": "240-630-0597",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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