Individual provider Active NPI

Elizabeth Wyan

  • Reflexologist
  • Ft Mitchell, KY
National Provider Identifier
1114708211
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
Practice address
2216 Dixie Hwy
Fort Mitchell, KY 41017-2965
Phone
(859) 412-7484
NPI assigned
Oct 13, 2023
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X OH Primary

Addresses

Primary practice location

2216 Dixie Hwy
Fort Mitchell, KY 41017-2965

Mailing address

963 Marion Ave
Cincinnati, OH 45229-1924
Phone (513) 616-7531

Other practice location 1

9122 Montgomery Rd Ste 11
Montgomery, OH 45242-7746
Phone (513) 616-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1114708211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 MARION AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452291924",
            "telephone_number": "513-616-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 DIXIE HWY",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410172965",
            "telephone_number": "859-412-7484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9122 Montgomery Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452427746",
            "country_code": "US",
            "telephone_number": "513-616-7531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYAN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2026-05-11",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Mitchell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.