NPI Code Detail JSON Logo

1538072707 NPI number — PROMOTE WELLNESS & HEALTH LLC - DBA GRITNGRACE

NPI Number: 1538072707
Health Care Provider/Practitioner: PROMOTE WELLNESS & HEALTH LLC - DBA GRITNGRACE

Information about “1538072707” NPI (PROMOTE WELLNESS & HEALTH LLC - DBA GRITNGRACE) exists in 1538072707 in HTML format HTML  |  1538072707 in plain Text format TXT  |  1538072707 in PDF (Portable Document Format) PDF  |  1538072707 in an XML format XML  formats.

NPI Number : 1538072707 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538072707",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PROMOTE WELLNESS & HEALTH LLC - DBA GRITNGRACE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "300 SW MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BILLINGS",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "65610-8956",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "417-543-0916",
    "MailingAddressFaxNumber": "866-877-3294",
    "FirstLinePracticeLocationAddress": "300 SW MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BILLINGS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65610-8956",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "417-543-0916",
    "PracticeLocationAddressFaxNumber": "866-877-3294",
    "EnumerationDate": "09/28/2026",
    "LastUpdateDate": "09/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EDEN",
    "AuthorizedOfficialFirstName": "JULIA",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "OWNER/PROVIDER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DNP",
    "AuthorizedOfficialTelephoneNumber": "417-543-0916",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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