ENM WELLNESS & MORE (NPI# 1053977041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053977041 |
| Entity Type | Organization |
| Organization Name | ENM WELLNESS & MORE |
| Other Organization Name | MERGING MINDS HEALTHCARE |
| Practice Address |
801 W Broadway Ste 4 Louisville KY 40202-2236 |
| Mailing Address |
4205 Naneen Dr Louisville KY 40216-3973 |
| Practice Telephone | 5029635803 |
| Mailing Telephone | 5023141247 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | ERICA MAHONE (OWNER) |
| Authorized Official Telephone | 5023141247 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100596910 | 05 |
| Other Name | Type Code |
|---|---|
| MERGING MINDS HEALTHCARE | Doing Business As Name - Organization |
| Street Address |
801 W BROADWAY STE 4 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538121132 | David Harvey Ivey II | Chiropractor | 801 W Broadway Ste 4, Louisville, KY 40202-2236 | 2006-04-06 |
| 1497218507 | Interlocking Hearts Healthcare - Primary and Express Care | Nurse Practitioner | 801 W Broadway Ste 4, Louisville, KY 40202-2236 | 2019-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393864 | Lindsay Ann Traeger | Nurse Practitioner | 633 E Main St Unit 553, Louisville, KY 40202-4739 | 2020-10-13 |
| 1669974119 | Donald Ray Avery Jr. | Nurse Practitioner | 801 Barret Ave Ste 314, Louisville, KY 40204-1734 | 2018-03-01 |
| 1730417593 | Tam Healthcare Options, Pllc. | Nurse Practitioner | 1904 Crums Ln, Louisville, KY 40216-4228 | 2009-12-05 |
| 1659991313 | Jason Pratt | Nurse Practitioner | 3975 7th Street Rd, Louisville, KY 40216-4103 | 2020-04-23 |
| 1497218507 | Interlocking Hearts Healthcare - Primary and Express Care | Nurse Practitioner | 801 W Broadway Ste 4, Louisville, KY 40202-2236 | 2019-04-08 |
| 1679012256 | Katherine Voss | Nurse Practitioner | 800 Zorn Ave, Louisville, KY 40206 | 2017-02-16 |
| 1598211146 | Alternative Health Solutions LLC | Nurse Practitioner | 7098 Distribution Dr, Louisville, KY 40258-2879 | 2016-09-01 |
| 1124471883 | Kasey Ann Metts | Nurse Practitioner | 400 S 6th St, Louisville, KY 40202-2306 | 2016-07-18 |
| 1205284726 | Serena K Nevitt | Nurse Practitioner | 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | 2016-05-25 |
| 1548632722 | Jessica Goettl | Nurse Practitioner | 3999 Dutchmans Ln Ste 2f, Louisville, KY 40207-4748 | 2015-10-27 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on ENM WELLNESS & MORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.