THREE MOUNTAINS WELLNESS, LLC (NPI# 1134662281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134662281 |
| Entity Type | Organization |
| Organization Name | THREE MOUNTAINS WELLNESS, LLC |
| Practice Address |
1780 E Grand River Ave East Lansing MI 48823-4998 |
| Mailing Address |
4088 Beeman Rd Williamston MI 48895-9349 |
| Practice Telephone | 5177631497 |
| Mailing Telephone | 5177631497 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2018-01-12 |
| Authorized Official Name | ELIZABETH BILLINGS (PARTNER) |
| Authorized Official Telephone | 5177631497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
5401000190 | MI | Ambulatory Health Care Facilities |
| Street Address |
1780 E GRAND RIVER AVE |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-4998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093815201 | Bethany Snow | Occupational Therapist | 1780 E Grand River Ave, East Lansing, MI 48823-4998 | 2006-09-25 |
| 1497149157 | Elizabeth Billings | Acupuncturist | 1780 E Grand River Ave, East Lansing, MI 48823-4998 | 2015-03-20 |
| 1629401674 | Kathy Anne Prouty | Massage Therapist | 1780 E Grand River Ave, East Lansing, MI 48823-4998 | 2013-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992970370 | Allergy and Asthma Clinic of East Lansing, Pllc. | Clinic/Center | 612 W Lake Lansing Rd, 100, East Lansing, MI 48823-8528 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684386 | True Women's Clinic of Grand Rapids, PC | Clinic/Center | 2144 E Paris Ave Se Ste 230, Grand Rapids, MI 49546-6111 | 2020-09-18 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1265081418 | Cherry Street Services Inc | Clinic/Center | 2125 Wrenwood St Sw Ofc Therapist, Wyoming, MI 49519-2362 | 2019-09-10 |
| 1023662079 | J & D Vision Inc | Clinic/Center | 41821 Garfield Rd, Clinton Twp, MI 48038-1965 | 2019-07-29 |
| 1649839945 | Michigan Institute of Sleep Disorders Pllc | Clinic/Center | 7108 Autumn Hill Dr, West Bloomfield, MI 48323-3904 | 2019-06-10 |
| 1447715131 | Ryan Klanseck, Do | Clinic/Center | 16986 Robbins Rd Ste 140, Grand Haven, MI 49417-2795 | 2019-02-06 |
| 1598242455 | Gratiot Advanced Center LLC | Clinic/Center | 7612 Gratiot Ave Ste 200, Detroit, MI 48213-2822 | 2018-07-24 |
| 1902356140 | Midmichigan Pain | Clinic/Center | 2305 Hawthorn Dr, Suite B, Mt Pleasant, MI 48858-1202 | 2016-10-12 |
| 1184085516 | Hester S Pernell Md Pllc | Clinic/Center | 24628 Ridgeview Dr, Farmington Hills, MI 48336-1905 | 2016-03-12 |
| 1275937625 | Innovative Anesthesia Services PC | Clinic/Center | 847 Parchment Dr Se Ste 105, Grand Rapids, MI 49546 | 2014-10-14 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.