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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TWELVESTONE INFUSION CENTERS LLC
NPI 1639091648
Ophthalmology in Appleton, WI

Active since July 29, 2026CLIA Certified · 14 labs
21 PARK PL STE A, APPLETON, WI 54914(615) 278-3278 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 10, 2026, Jul 29, 2026 (2 updates tracked since 2026).

About Twelvestone Infusion Centers Llc NPPES

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

TWELVESTONE INFUSION CENTERS LLC (NPI 1639091648) is a healthcare organization registered as an ophthalmology in Appleton, Wisconsin and active in the NPI registry since July 2026. The organization holds 14 active CLIA laboratory certificates and lists Tara Harrelson, Director, as its authorized official.

NPPES Registry Identity

NPI1639091648
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameTWELVESTONE INFUSION CENTERS LLC
Location Address21 PARK PL STE AAppleton, WI 54914-8872
Mailing AddressPo Box 12369Murfreesboro, TN 37129-0048
Phone(615) 278-3278
Organization SubpartYes
Authorized OfficialTara HarrelsonDirector · (615) 278-3278
Enumeration DateJuly 29, 2026
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1639091648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
21 PARK PL STE A, Appleton, WI 54914
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 14

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2297557

Twelvestone Infusion Centers · Sterling, VA
Active · expires Jan 17, 2028
CLIA Number49D2297557
Laboratory TypeInfusion Center
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorSusan Collins
Laboratory Phone(615) 278-3278
Laboratory LocationTwelvestone Infusion Centers46440 Benedict Dr, Suite 111, Sterling, VA 20164
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2332132

Twelvestone Infusion Centers, LLC · Southaven, MS
Active · expires Oct 13, 2027
CLIA Number25D2332132
Laboratory TypeInfusion Center
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorBettena Witherspoon
Laboratory Phone(615) 278-3278
Laboratory LocationTwelvestone Infusion Centers, LLC7900 Blvd, Building B, Suite 102, Southaven, MS 38671
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2290715

Twelvestone Infusion Centers · Norfolk, VA
Active · expires Sep 28, 2027
CLIA Number49D2290715
Laboratory TypeInfusion Center
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorJordan Mears
Laboratory Phone(615) 278-3278
Laboratory LocationTwelvestone Infusion Centers6161 Kempsville Rd, Suite 205, Norfolk, VA 23502
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2290718

Twelvestone Infusion Centers · Richmond, VA
Active · expires Sep 28, 2027
CLIA Number49D2290718
Laboratory TypeInfusion Center
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorJamie Russ
Laboratory Phone(615) 278-3278
Laboratory LocationTwelvestone Infusion Centers1501 Maple Ave, Suite 206, Richmond, VA 23226
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2290681

Twelvestone Infusion Centers · Dulles, VA
Active · expires Sep 27, 2027
CLIA Number49D2290681
Laboratory TypeInfusion Center
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorBonnie Paine
Laboratory Phone(615) 278-3278
Laboratory LocationTwelvestone Infusion Centers24430 Stone Springs Blvd, Suite 515, Dulles, VA 20166
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2289780

Twelvestone Infusion Centers · Louisville, KY
Active · expires Sep 14, 2027
CLIA Number18D2289780
Laboratory TypeInfusion Center
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorMs. Heather Ruccio
Laboratory Phone(615) 278-3278
Laboratory LocationTwelvestone Infusion Centers950 Breckenridge Ln, Suite 280, Louisville, KY 40207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Twelvestone Infusion Centers LLC's NPI number?

The NPI number for Twelvestone Infusion Centers LLC is 1639091648. It was assigned to this organization in the NPPES registry on July 29, 2026.

Where is Twelvestone Infusion Centers LLC located?

Twelvestone Infusion Centers LLC is located at 21 Park Pl Ste A, Appleton, WI 54914. The listed phone number is (615) 278-3278.

What is Twelvestone Infusion Centers LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Twelvestone Infusion Centers LLC hold CLIA laboratory certificates?

Yes. 14 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Twelvestone Infusion Centers LLC was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.