Active NPI
Heart and Wellness Institute
- Specialist
- Grand Rapids, MI
National Provider Identifier
1194935387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301080691
- Legal business name
- HEART AND WELLNESS INSTITUTE
- Practice address
- 5043 Cascade Rd SE
Grand Rapids, MI 49546-3724 - Phone
- (616) 719-5939
- Fax
- (616) 719-5933
- NPI assigned
- May 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Barbara Annette Warren, MSM
- Title
- Admin / Office MGR
- Phone
- (616) 719-5939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4301080691 | MI | Primary |
Addresses
Primary practice location
5043 Cascade Rd SE
Grand Rapids, MI 49546-3724
Mailing address
5043 Cascade Rd SE
Grand Rapids, MI 49546-3724
Phone (616) 719-5939
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5199674 | Medicaid | MI | |
| 1194935387 | Other | UNITED HEALTHCARE | |
| DG1222 | Other | RR / RAILROAD MEDICARE | |
| 060D120890 | Other | MI | BLUE CROSS BLUE SHIELD |
| 0P46910 | Other | COFINITY / PPOM |
National Provider Directory
National Provider DirectoryLocations
5043 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 719-5939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302566400000",
"number": "1194935387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5043 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463724",
"telephone_number": "616-719-5939",
"fax_number": "616-719-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5043 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463724",
"telephone_number": "616-719-5939",
"fax_number": "616-719-5933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART AND WELLNESS INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2011-04-12",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "ANNETTE",
"authorized_official_title_or_position": "ADMIN / OFFICE MGR",
"authorized_official_telephone_number": "616-719-5939",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSM"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "4301080691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5199674",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1194935387",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR / RAILROAD MEDICARE",
"identifier": "DG1222",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "060D120890",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COFINITY / PPOM",
"identifier": "0P46910",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.