JVM Cosmetic and Wellness Spa LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

JVM COSMETIC AND WELLNESS SPA LLC

Practice address

1501 Alexandria Pike Ste 114
Fort Thomas, KY 41075-2561

Phone

(513) 833-1619

NPI assigned

Jun 7, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Megan Kathleen Hacker, NP

Title

Nurse Practitioner

Phone

(513) 833-1619

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• JVM Cosmetic and Wellness Center Doing business as

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1003483355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ALEXANDRIA PIKE STE 114",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752561",
            "telephone_number": "513-833-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ALEXANDRIA PIKE STE 114",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752561",
            "telephone_number": "513-833-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JVM COSMETIC AND WELLNESS SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "HACKER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "513-833-1619",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100402060",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659733244",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "portal.kareo.com",
            "affiliation": "Y",
            "endpointDescription": "patient portal on online EHR system Kareo.",
            "affiliationName": "Kareo medical office software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1501 Alexandria Pike Ste 114",
            "city": "Fort Thomas",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410752561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JVM Cosmetic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JVM Cosmetic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Marie Ireland-Eggerth, MSW
• J.M. Petit, M.D. P.S.C.
• Suzanne Jardine-Lehman, MA
• Jerry W Conners MD PSC
• Meredith Joan Johnson, OTR/L
• Samuel Isaac Kaiser, OTR/L
• Patricia Karpinski, MA, PSYCHOLOGY
• Timothy Kass, BS
• Kelly Twehues, LLC
• Nathan Kemper, MD

• Family Nurse Practitioner in Fort Thomas, KY
• Providers in Fort Thomas, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.