Active NPI
Simply Lavish Health and Wellness Anp-C Nursing Corp
- Adult Health Nurse Practitioner
- Glendale, CA
National Provider Identifier
1265254387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- SIMPLY LAVISH HEALTH AND WELLNESS ANP-C NURSING CORP
- Practice address
- 1137 N Central Ave Apt 313
Glendale, CA 91202-3670 - Phone
- (314) 873-4485
- Fax
- (818) 230-2670
- NPI assigned
- Oct 29, 2024
- 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
- Jenny Lynette Brown, NURSE PRACTITIONER
- Title
- Ceo/Nurse Practitioner
- Phone
- (314) 873-4485
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
1137 N Central Ave Apt 313
Glendale, CA 91202-3670
Mailing address
1137 N Central Ave Apt 313
Glendale, CA 91202-3670
Phone (314) 873-4485
Other names 1
- simply lavish health and wellness anp-c nursing corp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1265254387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 N CENTRAL AVE APT 313",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912023670",
"telephone_number": "314-873-4485",
"fax_number": "818-230-2670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 N CENTRAL AVE APT 313",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912023670",
"telephone_number": "314-873-4485",
"fax_number": "818-230-2670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLY LAVISH HEALTH AND WELLNESS ANP-C NURSING CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JENNY",
"authorized_official_middle_name": "LYNETTE",
"authorized_official_title_or_position": "CEO/NURSE PRACTITIONER",
"authorized_official_telephone_number": "314-873-4485",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "simply lavish health and wellness anp-c nursing corp",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.