Organization Active NPI

Synergy Therapeutics Health & Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Macedonia, OH
National Provider Identifier
1003680547
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SYNERGY THERAPEUTICS HEALTH & WELLNESS, LLC
Practice address
8210 Macedonia Blvd
Suite 3B-1010
Macedonia, OH 44056
Phone
(814) 919-9355
NPI assigned
Nov 14, 2023
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Sharell J Thaxton, DNPNPI 1538434816
Title
Direct Owner
Phone
(814) 919-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
General Practice Registered Nurse 163WG0000X NU

Addresses

Primary practice location

8210 Macedonia Blvd
Suite 3B-1010
Macedonia, OH 44056

Mailing address

8210 Macedonia Blvd
Suite 3B-1010
Macedonia, OH 44056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1003680547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 MACEDONIA BLVD",
            "address_2": "SUITE 3B-1010",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "44056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 MACEDONIA BLVD",
            "address_2": "SUITE 3B-1010",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "44056",
            "telephone_number": "814-919-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY THERAPEUTICS HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "THAXTON",
        "authorized_official_first_name": "SHARELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "814-919-9355",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedonia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.