Montrose Hormone Health & Wellness LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MONTROSE HORMONE HEALTH & WELLNESS LLC

Practice address

332 S 5TH St
Montrose, CO 81401-5705

Phone

(970) 650-8050

NPI assigned

Feb 7, 2025

Organization subpart

Yes

Parent organization

MONTROSE HORMONE HEALTH & WELLNESS LLCAs reported in NPPES

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

Authorized official

Name

Wendy Campbell

Title

Owner

Phone

(970) 729-0239

Specialties & licenses 1

Addresses

Other names 2

• Montrose Longevity Clinic Doing business as
• Radiant Revival Doing business as

Part of

Montrose Hormone HLTH WLNS

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer M Johannes, D.O.

  • Surgery Physician
  • Montrose, CO
  • NPI 1457648198
  NPD
• Mary Louise Vader, DO

  • Pediatrics Physician
  • Montrose, CO
  • NPI 1568454106
  NPD

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1003621186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S 5TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015705",
            "telephone_number": "970-650-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S 5TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015705",
            "telephone_number": "970-650-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE HORMONE HEALTH & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTROSE HORMONE HEALTH & WELLNESS LLC",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-729-0239"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montrose Longevity Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radiant Revival",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Montrose Dental PLLC
• Montrose Dental Wellness PLLC
• Montrose Dermatology PLLC
• Montrose Dermatology PLLC
• Montrose Ears, Nose and Throat Center, L.L.C.
• Montrose Lap Band PC
• Montrose Massage Therapy, Inc.
• Montrose Medical Imaging, LLC
• Montrose Memorial Hospital
• Montrose Memorial Hospital, Inc

• Obstetrics & Gynecology Physician in Montrose, CO
• Providers in Montrose, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.