Enhanced Wellness of Oak Grove, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ENHANCED WELLNESS OF OAK GROVE, PLLC

Practice address

56 98 Place Blvd
Hattiesburg, MS 39402-8603

Phone

(601) 264-7286

Fax

(601) 450-4640

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Betty Laura Ryba, MSN FNP-BCNPI 1346433430

Title

Provider/Owner

Phone

(601) 264-7286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FABIAA

Practitioners 2

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

• Betty L Ryba, MSN FNP-BC

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1346433430
  Medicare reassignment NPD Authorized official
• Cori Marzoni

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1376477505
  NPD (past)

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1154564920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 98 PLACE BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028603",
            "telephone_number": "601-264-7286",
            "fax_number": "601-450-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 98 PLACE BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028603",
            "telephone_number": "601-264-7286",
            "fax_number": "601-450-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED WELLNESS OF OAK GROVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "RYBA",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "601-264-7286",
        "authorized_official_credential": "MSN FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encore Rehabilitation Inc
• Encore Rehabilitation Inc
• Eric W Enger, MD
• Lauren English, P.A.-C
• Stephen Craig English Jr., PA-C
• Peggy Enterkin, RN
• William F Entriken Jr., DO
• Epic Homecare LLC
• Calvin Erhabor, D.C.
• Lauren Short Erp

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.