Active NPI
Synergy Therapeutics Health & Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Macedonia, OH
National Provider Identifier
1003680547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharell J Thaxton, DNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Parma, OH
- NPI 1538434816
Family
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.