NPIMap

Organization Active NPI

Your Weigh Wellness Clinic LLP

  • Obesity Medicine (Internal Medicine) Physician
  • Stanville, KY
National Provider Identifier
1245790724
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
YOUR WEIGH WELLNESS CLINIC LLP
Practice address
9405 US Highway 23 S Ste 1
Stanville, KY 41659-9048
Phone
(606) 899-2273
Fax
(606) 202-7252
NPI assigned
Mar 21, 2019
Last updated
Mar 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Loren Kidd, APRNNPI 1518356377
Title
Owner
Phone
(606) 899-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X NU Primary

Addresses

Primary practice location

9405 US Highway 23 S Ste 1
Stanville, KY 41659-9048

Mailing address

9405 US Highway 23 S Ste 1
Stanville, KY 41659-9048
Phone (606) 899-2273

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": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1245790724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 US HIGHWAY 23 S STE 1",
            "city": "STANVILLE",
            "state": "KY",
            "postal_code": "416599048",
            "telephone_number": "606-899-2273",
            "fax_number": "606-202-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 US HIGHWAY 23 S STE 1",
            "city": "STANVILLE",
            "state": "KY",
            "postal_code": "416599048",
            "telephone_number": "606-899-2273",
            "fax_number": "606-202-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR WEIGH WELLNESS CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-899-2273",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.