MINDFULNESS, LLC (NPI# 1477043552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477043552 |
| Entity Type | Organization |
| Organization Name | MINDFULNESS, LLC |
| Practice Address |
210 2nd St Saint Marys WV 26170-1097 |
| Practice Telephone | 7403710238 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-11-05 |
| Authorized Official Name | OSRIC A MALONE-PRIOLEAU (OWNER) |
| Authorized Official Telephone | 3046991419 |
| Authorized Official Credential | APRN, CRC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
78769 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
78769 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | INDIVIDUAL NPI | 1932416179 | 01 |
| WV | 3810023137 | 05 |
| Street Address |
210 2ND ST |
| City | SAINT MARYS |
| State | WV |
| Zip Code | 26170-1097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063534279 | Joyce J. Wilcox | Social Worker | 210 2nd St, Saint Marys, WV 26170-1097 | 2007-04-06 |
| 1275132052 | Lindsey Powell | Case Manager/Care Coordinator | 210 2nd St, Saint Marys, WV 26170-1097 | 2020-10-22 |
| 1558985028 | Tisha Windland | Massage Therapist | 210 2nd St, Saint Marys, WV 26170-1097 | 2020-06-01 |
| 1134502123 | Jessica White | Social Worker | 210 2nd St, Saint Marys, WV 26170-1097 | 2015-07-08 |
| 1083955280 | Erin Deitzler | Counselor | 210 2nd St, Suite 5, Saint Marys, WV 26170-1097 | 2013-03-13 |
| 1932416179 | Osric Armand Malone-prioleau | Counselor | 210 2nd St, Saint Marys, WV 26170-1097 | 2010-09-09 |
| 1609042589 | Suzanne B Evans | Case Manager/Care Coordinator | 210 2nd St, Suite 6, Saint Marys, WV 26170-1097 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118370 | Anna L Hall | Technician | 123 Riverview Est, Apt # 36, St Marys, WV 26170 | 2020-09-11 |
| 1497289771 | Nicole Lancaster | Occupational Therapy Assistant | 102 Donald Street, Saint Marys, WV 26170 | 2017-04-13 |
| 1609002732 | Jennifer Marie Strimer | Dentist | 111 Lafayette St., Suite 203, St. Marys, WV 26170 | 2009-06-03 |
| 1497907141 | Porfirio R. Pascasio | Surgery | 2880 North Pleasant Highway, St. Mary's Correctional Center, St. Mary, WV 26170 | 2008-10-14 |
| 1396965141 | C Richard Gerber | Dentist | 314 Barkwill Street, St. Marys, WV 26170 | 2007-04-26 |
| 1356446082 | Dr Larry W Carr PC | Optometrist | 214 Washington Street, St Marys, WV 26170 | 2006-09-14 |
| 1679689426 | Danny Edward Chandler | Dentist | 111 Lafayette Street, Saint Marys, WV 26170 | 2006-08-22 |
| 1235301961 | Dawn Rauch | Occupational Therapist | 2272 N Pleasants Highway, St. Marys, WV 26170-0021 | 2008-04-02 |
| 1720259633 | Kimberly Scott | Psychologist | 2272 North Pleasants Highway, St. Marys, WV 26170-0021 | 2008-03-19 |
| 1598938961 | Lori Renner | Registered Nurse | 2272 N Pleasants Highway, St. Marys, WV 26170-0021 | 2008-04-08 |
| Find all providers in zip 26170 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326595 | Michelle Anne Stanley | Nurse Practitioner | 570 Sauerkraut Road, Wardensville, WV 26851 | 2020-11-03 |
| 1104469899 | Nicole Wennerberg | Nurse Practitioner | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2019-10-24 |
| 1528609856 | Jan Augusta Nieves | Nurse Practitioner | 3094 Charlestown Road, Kearneysville, WV 25430 | 2019-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1205290178 | Kimberly J Rittenhouse | Nurse Practitioner | 1809 Dupont Rd Ste 1, Parkersburg, WV 26101 | 2016-04-07 |
| 1285022723 | Yolanda Hunter | Nurse Practitioner | 201 Adams St, Fairmont, WV 26554-2825 | 2015-01-07 |
| 1437563558 | Janel Nuzum | Nurse Practitioner | 800 Garfield Ave Ste 2, Parkersburg, WV 26101-5376 | 2014-06-17 |
| 1154921716 | Sira Diakite | Nurse Practitioner | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-10-31 |
| 1447857594 | Angela Dawn Monroe | Nurse Practitioner | 911 Emerson Ave, Parkersburg, WV 26104-2526 | 2020-10-01 |
| 1699383414 | Kerry A Tucker | Nurse Practitioner | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MARYS |
| Zip Code | 26170 |
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| 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.