Organization Active NPI

Women's Holistic Wellness LLC

  • Women's Health Nurse Practitioner
  • Freehold, NJ
National Provider Identifier
1144892068
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
WOMEN'S HOLISTIC WELLNESS LLC
Practice address
122 Old Post Rd
Freehold, NJ 07728-3149
Phone
(908) 217-0916
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Deanna Tikhonov, APNNPI 1831595453
Title
Women's Health Nurse Practitioner
Phone
(908) 217-0916

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
Women's Health Nurse Practitioner 363LW0102X NU Primary

Addresses

Primary practice location

122 Old Post Rd
Freehold, NJ 07728-3149

Mailing address

122 Old Post Rd
Freehold, NJ 07728-3149

Other names 1

  • Women's Holistic Wellness Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1144892068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 OLD POST RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 OLD POST RD",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283149",
            "telephone_number": "908-217-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HOLISTIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "TIKHONOV",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "WOMEN'S HEALTH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "908-217-0916",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Holistic Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.