MICHELLE BOUTON (NPI# 1326487406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326487406 |
| Entity Type | Individual |
| Full Name | MICHELLE BOUTON |
| Credential | L.AC., M.A.O.M. |
| Practice Address |
111 W 10th Ave Johnson City TN 37604-3844 |
| Practice Telephone | 4236127494 |
| Practice Fax Number | 4237229333 |
| Mailing Telephone | 4236127494 |
| Mailing Fax Number | 4237229333 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | ACU0000000207 | TN | Other Service Providers |
| Street Address |
111 W 10TH AVE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164519880 | Coleen Marie Smith | Neuromusculoskeletal Medicine & OMM | 111 W 10th Ave, Johnson City, TN 37604-3844 | 2006-10-06 |
| 1477646354 | Deanna Lynn Irick | Counselor | 111 W 10th Ave, Johnson City, TN 37604 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717780 | Sea Gate Wellness LLC | Acupuncturist | 2020 Indian Ridge Rd Apt 206, Johnson City, TN 37604-4299 | 2020-10-14 |
| 1982161063 | Hsiung C Leu | Acupuncturist | 112 W Springbrook Dr, Johnson City, TN 37604-1757 | 2019-02-26 |
| 1407262603 | Jennifer Hayworth | Acupuncturist | 113 E Unaka Ave, Johnson City, TN 37601-4085 | 2014-07-08 |
| 1376825992 | Stephen Sedita | Acupuncturist | 207 N Boone St Ste 28, Johnson City, TN 37604-5660 | 2011-09-10 |
| 1104065283 | Shaul Hendel | Acupuncturist | 27 Jenison Ave, Johnson City, NY 13790-2302 | 2009-02-12 |
| 1982868360 | New Paradigms Health Care | Acupuncturist | 113 East Unaka Avenue, Johnson City, TN 37601-4085 | 2008-07-15 |
| 1144853581 | Shannon Michelle Moorleghen | Acupuncturist | 113 E Unaka Ave, Johnson City, TN 37601-4085 | 2020-02-13 |
| 1851795454 | Mary Huwe | Acupuncturist | 113 E Unaka Ave, Johnson City, TN 37601-4085 | 2014-10-10 |
| 1487062949 | Appalachian Acupuncture | Acupuncturist | 113 E Unaka Ave, Johnson City, TN 37601-4085 | 2014-07-29 |
| 1417363631 | Lillian Bae Parker | Acupuncturist | 817 W Walnut St, Suite 4a, Johnson City, TN 37604-6984 | 2014-07-08 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.