JN Wellness Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JN WELLNESS INC

Practice address

4225 Bayless Ave
Saint Louis, MO 63123-7513

Phone

(314) 544-5600

Fax

(314) 544-5696

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Deidre Dell

Title

Office Manager

Phone

(314) 207-0292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 8

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

• Donna Baudendistel

  • Nurse Practitioner
  • Saint Louis, MO
  • NPI 1417904624

  MO

  Medicare reassignment Care Compare group NPD
• Jawed H. Siddiqui, M.D.

  • Internal Medicine Physician
  • Florissant, MO
  • NPI 1699705293

  MO

  Medicare reassignment Care Compare group NPD
• Maria R Sutherland, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1154902773

  MO

  Medicare reassignment Care Compare group NPD
• Laura Ann Rogers, CFNP

  • Family Nurse Practitioner
  • Fenton, MO
  • NPI 1093250334

  MO

  Medicare reassignment NPD
• Kim Damaris York, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Lake St Louis, MO
  • NPI 1205207768

  MO

  Medicare reassignment NPD
• Denise Pyles

  • Family Nurse Practitioner
  • Lebanon, IL
  • NPI 1477964203

  MO

  Medicare reassignment NPD
• Paul S Catanzaro, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1386653731
  Care Compare group
• Joshua D Kurth, PH.D., LPC

  • Professional Counselor
  • Waterloo, IL
  • NPI 1194975185
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1245839166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 BAYLESS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237513",
            "telephone_number": "314-544-5600",
            "fax_number": "314-544-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 BAYLESS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237513",
            "telephone_number": "314-544-5600",
            "fax_number": "314-544-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JN WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "DELL",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-207-0292"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Saint Louis, MO
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.