Novaleo Weight and Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NOVALEO WEIGHT AND WELLNESS

Practice address

1805 Leonard St NE
Grand Rapids, MI 49505-5637

Phone

(616) 801-4648

Fax

(616) 319-2966

NPI assigned

Dec 30, 2025

Organization subpart

No

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

Authorized official

Name

Kathryn Long, FNP-CNPI 1558900183

Title

Owner

Phone

(616) 801-4648

Specialties & licenses 1

Addresses

Other names 1

• Nova Weight and Wellness Former legal business name

Practitioners 1

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

• Kathryn Long, NP-C

  • Primary Care Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1558900183
  NPD Authorized official

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1235095597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055637",
            "telephone_number": "616-801-4648",
            "fax_number": "616-319-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055637",
            "telephone_number": "616-801-4648",
            "fax_number": "616-319-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVALEO WEIGHT AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-801-4648",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Weight and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kimberly Novak, CTRS
• Margaret Novak, LMSW
• Michael Edward Novak, M.D.
• Nicole Marie Novak, LMSW, CAADC
• Timothy Robert Novak, LLMSW
• Bethany Novascone, LLMSW
• Isabella Rose Novascone
• Ann Lorena Novosel
• D'Estinay Nowack, LMSW
• Jordyn Nowaczyk

• Family Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.