Living Well House Calls LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

217510 Issued in GA

Legal business name

LIVING WELL HOUSE CALLS LLC

Practice address

607 4TH St W
Darien, GA 31305-9362

Phone

(912) 580-0440

NPI assigned

Sep 29, 2012

Last updated

Sep 29, 2012By 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

Mrs. Joanne Ellen Bracewell, ARNP-C

Title

Owner

Phone

(912) 580-0440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348876800000",
    "number": "1043561095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 4TH ST W",
            "city": "DARIEN",
            "state": "GA",
            "postal_code": "313059362",
            "telephone_number": "912-580-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 4TH ST W",
            "city": "DARIEN",
            "state": "GA",
            "postal_code": "313059362",
            "telephone_number": "912-580-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-29",
        "last_updated": "2012-09-29",
        "status": "A",
        "authorized_official_last_name": "BRACEWELL",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-580-0440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "217510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Darien, GA
• Providers in Darien, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2012; 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.