Active NPI
Wells Wellness Group LLC
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
National Provider Identifier
1245920503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WELLS WELLNESS GROUP LLC
- Practice address
- 18 W Mercer St Ste 360
Seattle, WA 98119-3993 - Phone
- (734) 358-3275
- NPI assigned
- May 10, 2023
- 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
- Kristi Ramirez
- Title
- NP
- Phone
- (734) 358-3275
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
18 W Mercer St Ste 360
Seattle, WA 98119-3993
Mailing address
33820 Brittany Dr
Farmington Hills, MI 48335-1424
Phone (734) 358-3275
Other names 1
- EZ Mind Psychiatric Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Ann Arbor, MI
- NPI 1326394586
Single Specialty, WA
-
- Clinical Social Worker
- Bellevue, WA
- NPI 1699943282
-
- Clinical Social Worker
- Salt Lake City, UT
- NPI 1770644577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686614400000",
"number": "1245920503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33820 BRITTANY DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483351424",
"telephone_number": "734-358-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 W MERCER ST STE 360",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981193993",
"telephone_number": "734-358-3275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLS WELLNESS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-10",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "KRISTI",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "734-358-3275"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EZ Mind Psychiatric Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "EZ Mind Psychiatric Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.