SPROUTED HEART ACUPUNCTURE AND WELLNESS, LLC (NPI# 1639776032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639776032 |
| Entity Type | Organization |
| Organization Name | SPROUTED HEART ACUPUNCTURE AND WELLNESS, LLC |
| Practice Address |
200 Park Circle Dr Ste 4 Flowood MS 39232-7800 |
| Practice Telephone | 6014871614 |
| Mailing Telephone | 6014871614 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-16 |
| Authorized Official Name | MRS. JERUSHA DEGROOTE STEPHENS (OWNER) |
| Authorized Official Telephone | 6014871614 |
| Authorized Official Credential | LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| Street Address |
200 PARK CIRCLE DR STE 4 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| 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 |
|---|---|---|---|---|
| 1508274515 | Dennis Holmes | Acupuncturist | 5719 Highway 25, Suite 1, Flowood, MS 39232-7105 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851767248 | Angela Faye Magee | Acupuncturist | 8353 S Carolina Ave, Gulfport, MS 39501-8337 | 2015-08-19 |
| 1720471279 | Kirby Thompson | Acupuncturist | 427 Weathersby Rd, Hattiesburg, MS 39402-1132 | 2015-03-09 |
| 1700129723 | Stephanie L Fenter | Acupuncturist | 3670 Lakeland Ln, Suite 23, Jackson, MS 39216-4700 | 2013-03-27 |
| 1679882690 | Ronald William Buie | Acupuncturist | 6682 Highway 11, Suite 103, Carriere, MS 39426-7554 | 2010-09-27 |
| 1487886420 | Sue Ellen Guettler | Acupuncturist | 106 Meadow Park Dr, Canton, MS 39046-6027 | 2009-08-09 |
| 1225672660 | Meixi Li | Acupuncturist | 1707 S Colorado St Ste A, Greenville, MS 38703-7275 | 2019-10-29 |
| 1316287675 | Jerusha Degroote Stephens | Acupuncturist | 4500 I 55 N, Suite 128, Jackson, MS 39211-5930 | 2013-02-25 |
Please comment or provide details below to improve the information on SPROUTED HEART ACUPUNCTURE AND WELLNESS, LLC.
| 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.