The Npfactory and Janel Willingham LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THE NPFACTORY AND JANEL WILLINGHAM LLC

Practice address

3103 Breckenridge LN Ste 2
Louisville, KY 40220-2798

Phone

(502) 384-7053

NPI assigned

Sep 27, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Janel Jene Willingham, DNPNPI 1609018423

Title

Ceo/ Nurse Pracititoner

Phone

(502) 802-0692

Specialties & licenses 3

Addresses

Other names 1

• Health and Wellness Boutique Doing business as

Practitioners 1

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

• Janel Jene Willingham, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1609018423
  NPD Authorized official

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1245901495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 BRECKENRIDGE LN STE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202798",
            "telephone_number": "502-384-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 BRECKENRIDGE LN STE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402202798",
            "telephone_number": "502-384-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NPFACTORY AND JANEL WILLINGHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "WILLINGHAM",
        "authorized_official_first_name": "JANEL",
        "authorized_official_middle_name": "JENE",
        "authorized_official_title_or_position": "CEO/ NURSE PRACITITONER",
        "authorized_official_telephone_number": "502-802-0692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health and Wellness Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.