Restore Wellness

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RESTORE WELLNESS

Practice address

13125 Eastpoint Park Blvd Ste 105
Louisville, KY 40223-3169

Phone

(502) 810-8961

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Beth Rayhill

Title

Administrator

Phone

(502) 810-8961

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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.

• Clinton Rayhill, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
  • NPI 1700330008
  Medicare reassignment NPD
• Julie L Lyles, D.C.

  • Chiropractor
  • Louisville, KY
  • NPI 1932200227
  NPD

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1043917396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 JEFFERS DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509312",
            "telephone_number": "502-810-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13125 EASTPOINT PARK BLVD STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233169",
            "telephone_number": "502-810-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "RAYHILL",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-810-8961"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restorative Pain Institute
• Restorative Pain Institute
• Restorative Pain Institute
• Restore & Flow Studio
• Restore Rehabilitation
• Restoring New Hope LLC
• Emad Resul Erzurumlu, M.D.
• Estefania Retallick
• Retina Associates, PSC
• Retina Associates, PSC

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.