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: August 16, 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 9 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.