Inspired Life Wellness Clinic, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INSPIRED LIFE WELLNESS CLINIC, PLLC

Practice address

3100 Moonstone LN
Bismarck, ND 58503-6308

Phone

(701) 989-4354

Fax

(701) 213-4335

NPI assigned

Jun 21, 2013

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Getzlaff, BSNRNNPI 1801237821

Title

Co-Owner, President

Phone

(701) 989-4345

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 2

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.

• Christine Marie Aman, NPC

  • Family Nurse Practitioner
  • Bismarck, ND
  • NPI 1306155726
  Medicare reassignment NPD
• Kristen Getzlaff, BSN, RN

  • Registered Nurse
  • Bismarck, ND
  • NPI 1801237821
  NPD Authorized official

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1033558168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 TOWER PL",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543244",
            "telephone_number": "701-989-4354",
            "fax_number": "701-425-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MOONSTONE LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036308",
            "telephone_number": "701-989-4354",
            "fax_number": "701-213-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED LIFE WELLNESS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "GETZLAFF",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CO-OWNER, PRESIDENT",
        "authorized_official_telephone_number": "701-989-4345",
        "authorized_official_credential": "BSNRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.