Wythe Wellness Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WYTHE WELLNESS INC

Practice address

325 E Main St Ste B
Wytheville, VA 24382-2300

Phone

(931) 284-1362

NPI assigned

Jul 16, 2019

Last updated

Jul 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Wade Bolton, DC, NP

Title

President and Ceo

Phone

(931) 284-1362

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1295387595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243820065",
            "telephone_number": "931-284-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST STE B",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822300",
            "telephone_number": "931-284-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYTHE WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "931-284-1362",
        "authorized_official_credential": "DC, NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wytheville SNF Operations LLC (Holston Health & Rehabilitation)
• Elisa Marie Zuber, PT

• Nurse Practitioner in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.