Organization Active NPI

Enm Wellness & More

  • Primary Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1053977041
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ENM WELLNESS & MORE
Practice address
801 W Broadway Ste 4
Louisville, KY 40202-2236
Phone
(502) 963-5803
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Erica Mahone, APRN
Title
Owner
Phone
(502) 314-1247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

801 W Broadway Ste 4
Louisville, KY 40202-2236

Mailing address

4205 Naneen Dr
Louisville, KY 40216-3973
Phone (502) 314-1247

Other identifiers 1

IdentifierTypeStateIssuer
7100596910MedicaidKY

Other names 1

  • MERGING MINDS HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1053977041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 NANEEN DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163973",
            "telephone_number": "502-314-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BROADWAY STE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022236",
            "telephone_number": "502-963-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENM WELLNESS & MORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "MAHONE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-314-1247",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100596910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERGING MINDS HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.