NPIMap

Organization Active NPI

Total Health and Wellness, PLLC

  • Family Nurse Practitioner
  • Elizabethtown, KY
National Provider Identifier
1104471747
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TOTAL HEALTH AND WELLNESS, PLLC
Practice address
120 Helmwood Plaza Dr Ste 200
Elizabethtown, KY 42701-3458
Phone
(270) 600-7001
NPI assigned
Aug 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Dr. Bisona Yeba Bennett, APRNNPI 1689083750
Title
Owner
Phone
(210) 219-1160

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

120 Helmwood Plaza Dr Ste 200
Elizabethtown, KY 42701-3458

Mailing address

120 Helmwood Plaza Dr Ste 200
Elizabethtown, KY 42701-3458
Phone (270) 600-7001

Other names 1

  • Etown Medical Weight Loss And Aesthetics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https//www.totalhealthandwellness.info Direct

National Provider Directory

National Provider Directory

Locations

120 Helmwood Plaza Dr
Ste 200
Elizabethtown, KY 42701
Phone (270) 600-7001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1104471747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HELMWOOD PLAZA DR STE 200",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013458",
            "telephone_number": "270-600-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HELMWOOD PLAZA DR STE 200",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013458",
            "telephone_number": "270-600-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "BISONA",
        "authorized_official_middle_name": "YEBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-219-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https//www.totalhealthandwellness.info",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 Helmwood Plaza Dr Ste 200",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427013458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Etown Medical Weight Loss And Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.