Organization Active NPI

Intima Wellbeing, LLC

  • Nurse Practitioner
  • Findlay, OH
National Provider Identifier
1164248191
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
INTIMA WELLBEING, LLC
Practice address
655 Fox Run Rd Ste a
Findlay, OH 45840-8401
Phone
(419) 408-5953
Fax
(419) 408-5953
NPI assigned
Nov 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Bethany Welch Parsell, MSN, APRN, CNP, CUNPNPI 1639561392
Title
Owner
Phone
(419) 408-5953

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
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

655 Fox Run Rd Ste a
Findlay, OH 45840-8401

Mailing address

655 Fox Run Rd Ste a
Findlay, OH 45840-8401
Phone (419) 408-5953

Other identifiers 2

IdentifierTypeStateIssuer
0127113MedicaidOH
1639561392OtherOHINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250110001996 OH Part B Supplier - Clinic/Group Practice 6406384940 Receives reassigned benefits from 2 practitioners
Practice locations: Findlay, OH; Tiffin, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2323415Intima Wellbeing LLC655 Fox Run Road, Suite a, Findlay, OH 45840Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

655 Fox Run Rd
Ste A
Findlay, OH 45840
Phone (419) 408-5953

213 E Market St
Tiffin, OH 44883
Phone (419) 408-5953

Practitioners & affiliated clinicians

Practitioners 3

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": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1164248191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 FOX RUN RD STE A",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458408401",
            "telephone_number": "419-408-5953",
            "fax_number": "419-408-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 FOX RUN RD STE A",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458408401",
            "telephone_number": "419-408-5953",
            "fax_number": "419-408-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTIMA WELLBEING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "PARSELL",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "WELCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-408-5953",
        "authorized_official_credential": "MSN, APRN, CNP, CUNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127113",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1639561392",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.