WISDOM & WELLNESS (NPI# 1639462765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639462765 |
| Entity Type | Organization |
| Organization Name | WISDOM & WELLNESS |
| Practice Address |
659 Park Meadow Rd Ste J Westerville OH 43081-2879 |
| Mailing Address |
Po Box 2207 Westerville OH 43086-2207 |
| Practice Telephone | 6148996877 |
| Practice Fax Number | 6148996820 |
| Mailing Telephone | 6148996877 |
| Mailing Fax Number | 6148996820 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-11-23 |
| Authorized Official Name | MRS. LUANN B. LAVIN (OWNER) |
| Authorized Official Telephone | 6147383686 |
| Authorized Official Credential | C.N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP-11102 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3139473 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WISDOM & WELLNESS CONNECTION, LLC | 138 Kenwood Ave, Oneida, Ny 13421 |
| Street Address |
659 PARK MEADOW RD STE J |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43081-2879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821196783 | Lyle T Olson Md Inc | Internal Medicine | 659 Park Meadow Rd Ste J, Westerville, OH 43081-2879 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917643 | Cheryl Lynne Weitthoff | Home Health Aide | Cheryl Weitthoff, 33 Nadine Place South, Westerville, OH 43081 | 2020-09-18 |
| 1588274088 | Omer Mohamed | Respiratory Therapist, Certified | 5825 Leila Lane Unit 107, Westerville, OH 43081 | 2020-08-09 |
| 1932739174 | Norline E Ford | Counselor | 100 Dorchester Sq. Suite 102, Westerville, OH 43081 | 2020-01-15 |
| 1902444524 | Sabrina Shannon | Behavior Technician | 189 W. Schrock Road, Westerville, OH 43081 | 2019-12-13 |
| 1336786581 | New Horizon Home Health Care, LLC | Home Health | 635 Park Meadow Rd Ste 115, Unit B, Westerville, OH 43081 | 2019-12-06 |
| 1295389740 | Esther A Ogundare | Licensed Practical Nurse | 394 Naples Pl., Westerville, OH 43081 | 2019-08-01 |
| 1922580364 | Judith Luann Haynes | Nurse Practitioner | 620 S. Cleveland Ave, Westerville, OH 43081 | 2018-09-01 |
| 1851879878 | Erin Doone | Physical Therapist | 631 Copeland Mill Rd Ste B, Westerville, OH 43081 | 2018-08-01 |
| 1205312360 | Melissa Anderson | Counselor | 145 W Schrock Road, Westerville, OH 43081 | 2018-07-12 |
| 1407344963 | Hannah Tiberi | Nurse Practitioner | 410 Mary Ave, Westerville, OH 43081 | 2018-04-30 |
| Find all providers in zip 43081 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248845 | Jennifer Cross | Nurse Practitioner | 538 Bridgeford Dr, Westerville, OH 43081-5044 | 2019-11-04 |
| 1578920815 | Stacie Carruth | Nurse Practitioner | 477 Cooper Rd Ste 200, Westerville, OH 43081-8054 | 2016-01-18 |
| 1669782553 | Steven K Bixler | Nurse Practitioner | 193 W Schrock Rd, Westerville, OH 43081-2890 | 2010-10-14 |
| 1659512671 | Amelia Marie Barson | Nurse Practitioner | 757 Brooksedge Plaza Dr, Westerville, OH 43081-4913 | 2009-03-21 |
| 1740217405 | Laurie S Mccloud | Nurse Practitioner | 85 Commerce Park Dr, Westerville, OH 43082-8348 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1598362402 | Kate Suzanne Mccombs | Nurse Practitioner | 6681 Ridge Rd Ste 30, Parma, OH 44129-5705 | 2020-10-04 |
| 1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
| 1659982494 | Lauren Rainey | Nurse Practitioner | 70 N Hillside Rd, Canfield, OH 44406-1335 | 2020-08-14 |
| 1932710928 | Bobbie Duda | Nurse Practitioner | 6454 Paine Rd, Painesville, OH 44077-9318 | 2020-08-12 |
| 1235756461 | Sara Mauk | Nurse Practitioner | 6780 Mayfield Rd Rm 323, Mayfield Heights, OH 44124-2203 | 2020-07-04 |
| 1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
| 1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
| 1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
| 1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
| City | WESTERVILLE |
| Zip Code | 43081 |
Please comment or provide details below to improve the information on WISDOM & WELLNESS.
| 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.