MINT EDITION WELLNESS CENTER (NPI# 1669081477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669081477 |
| Entity Type | Organization |
| Organization Name | MINT EDITION WELLNESS CENTER |
| Practice Address |
1400 N Mount Juliet Rd Ste 104 Mount Juliet TN 37122-1508 |
| Practice Telephone | 8703356990 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MR. KEVIN LONG (DIRECTOR) |
| Authorized Official Telephone | 8703356990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1400 N MOUNT JULIET RD STE 104 |
| City | MOUNT JULIET |
| State | TN |
| Zip Code | 37122-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628084 | Your Motion Physical Therapy Pllc | Physical Therapist | 102 Vanner Rd, Mt. Juliet, TN 37122 | 2020-01-14 |
| 1639728355 | Brantley Allen Thigpen | Student in an Organized Health Care Education/Training Program | 2128, Fellowshid Rd, Mount Juliet, TN 37122 | 2019-09-05 |
| 1811479272 | Jessica Danielle Parker | Nurse Practitioner | 854 N Mt Juliet Road, Mt Juliet, TN 37122 | 2018-09-02 |
| 1952891798 | Twin Lakes Dental Care Pllc | Clinic/Center | 11315 Lebanon Rd, Mount Juliet, TN 37122 | 2018-05-17 |
| 1346768983 | William Siegel | Chiropractor | 650 S. Mount Juliet Rd. Suite 105, Mount Juliet, TN 37122 | 2017-09-04 |
| 1194269506 | Michele Mcdermitt | Nurse Practitioner | 108 Providence Trail, Mt. Juliet, TN 37122 | 2016-12-05 |
| 1720537491 | Mt. Juliet Dental Group, PC | Dentist | 4155 N Mt Juliet Rd, Mt. Juliet, TN 37122 | 2016-09-23 |
| 1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
| 1639624109 | Samantha Nicole Grishaber | Occupational Therapist | 5000 Crossing Circle, Suite 100, Mount Juliet, TN 37122 | 2016-08-24 |
| 1033584461 | Kimberly Campbell | Nurse Practitioner | 3500 N Mount Juliet Rd Ste 201, Mt Juliet, TN 37122 | 2015-12-10 |
| Find all providers in zip 37122 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861873309 | Pharmacare Collaborative Partners | Clinic/Center | 1097 Weston Dr, Mount Juliet, TN 37122-3493 | 2015-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777024 | Tri-k Health LLC | Clinic/Center | 525 Cherokee Blvd Ste 5, Chattanooga, TN 37405-3865 | 2020-07-21 |
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1174147870 | Freedom Medical Services Pllc | Clinic/Center | 1203 Laurel Springs Way, Signal Mountain, TN 37377-1445 | 2020-05-29 |
| 1023630019 | Daya Medicals, Inc. | Clinic/Center | 460 S Highland St, Memphis, TN 38111-4302 | 2020-05-12 |
| 1518421148 | Paramount Solutions Clinic & Laboratory Testing | Clinic/Center | 2010 Church St Ste 624, Nashville, TN 37203-2075 | 2019-01-28 |
| 1982180113 | Abundant Healthcare Clinic LLC | Clinic/Center | 130 Serral Dr, Greeneville, TN 37745-3074 | 2018-07-11 |
| 1649776691 | Serious Health Services | Clinic/Center | 715 Cherry St Ste 207, Chattanooga, TN 37402-1929 | 2018-03-30 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1205377348 | Southeastern Swallowing Diagnostics | Clinic/Center | 8459 Lexie Ln, Ooltewah, TN 37363-5796 | 2017-03-08 |
| 1861949133 | Moore Healthcare | Clinic/Center | 1138 N Germantown Pkwy Ste 226, Cordova, TN 38016-5872 | 2016-09-05 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT JULIET |
| Zip Code | 37122 |
Please comment or provide details below to improve the information on MINT EDITION WELLNESS CENTER.
| 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.