NPI Code Detail JSON Logo

1295682953 NPI number — THE WELLNESS SUITE, LLC

NPI Number: 1295682953
Health Care Provider/Practitioner: THE WELLNESS SUITE, LLC

Information about “1295682953” NPI (THE WELLNESS SUITE, LLC) exists in 1295682953 in HTML format HTML  |  1295682953 in plain Text format TXT  |  1295682953 in PDF (Portable Document Format) PDF  |  1295682953 in an XML format XML  formats.

NPI Number : 1295682953 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295682953",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE WELLNESS SUITE, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "332 ESSMAN SUGAR CAMP RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTH WEBSTER",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45682-8946",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "740-464-7979",
    "MailingAddressFaxNumber": "507-609-3181",
    "FirstLinePracticeLocationAddress": "8046 OHIO RIVER RD STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHEELERSBURG",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45694-1689",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "740-464-7979",
    "PracticeLocationAddressFaxNumber": "507-609-3181",
    "EnumerationDate": "03/12/2026",
    "LastUpdateDate": "03/12/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EHRHART-BENNETT",
    "AuthorizedOfficialFirstName": "BRIDGET",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/APRN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DNP, FNP-C, PMHNP",
    "AuthorizedOfficialTelephoneNumber": "740-464-7979",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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