PHOTOREALISTIC AREOLA & HEALING ARTS INSTITUTE
NPI 1306683255
Specialist/Technologist, Other in Springfield, MO

Q: What is Photorealistic Areola & Healing Arts Institute's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

Active since July 09, 2024

4058 S LONE PINE AVE, SPRINGFIELD, MO 65804(417) 763-5414 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 31, 2024, Jul 9, 2024 (2 updates tracked since 2024).

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About Photorealistic Areola & Healing Arts Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOTOREALISTIC AREOLA & HEALING ARTS INSTITUTE (NPI 1306683255) is a healthcare organization registered as a specialist/technologist, other in Springfield, Missouri and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Las Vegas and lists Jennifer Williams, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1306683255

Entity TypeOrganization

Primary Taxonomy246Z00000X

Legal Business NamePHOTOREALISTIC AREOLA & HEALING ARTS INSTITUTE

Location Address4058 S LONE PINE AVESpringfield, MO 65804-6605

Mailing Address4058 S Lone Pine AveSpringfield, MO 65804-6605 · (417) 763-5414

Phone(417) 763-5414

Organization SubpartNo

Authorized OfficialJennifer WilliamsBilling Manager · (407) 982-4876

Enumeration DateJuly 9, 2024

Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration

NPPES CertifiedOctober 29, 2025

✔ NPI 1306683255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246Z00000X

Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

4058 S LONE PINE AVE, Springfield, MO 65804

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Secondary Practice Location 1

Location 1501 S Rancho Dr Ste H51Las Vegas, NV 89106-4836 · Phone (407) 982-4876

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUTUMN WIND SHARP

Specialist/Technologist, Other

4058 S LONE PINE AVE
SPRINGFIELD, MO 65804

Greene County (417) 763-5414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Photorealistic Areola & Healing Arts Institute's NPI number?

The NPI number for Photorealistic Areola & Healing Arts Institute is 1306683255. It was assigned to this organization in the NPPES registry on July 9, 2024.

Where is Photorealistic Areola & Healing Arts Institute located?

Photorealistic Areola & Healing Arts Institute is located at 4058 S Lone Pine Ave, Springfield, MO 65804. The listed phone number is (417) 763-5414.

What is Photorealistic Areola & Healing Arts Institute's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Photorealistic Areola & Healing Arts Institute was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.