Organization Active NPI

Only You Wellness

  • Multi-Specialty Clinic/Center
  • Nicholasville, KY
National Provider Identifier
1346035524
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ONLY YOU WELLNESS
Practice address
459 Keene Centre Dr
Nicholasville, KY 40356-1492
Phone
(859) 241-1136
Fax
(859) 241-1009
NPI assigned
Apr 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Susanna Leigh MoberlyNPI 1568843316
Title
Owner
Phone
(859) 241-1136

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

459 Keene Centre Dr
Nicholasville, KY 40356-1492

Mailing address

459 Keene Centre Dr
Nicholasville, KY 40356-1492
Phone (859) 241-1136

Other identifiers 1

IdentifierTypeStateIssuer
1568843316MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251211001392 KY Part B Supplier - Clinic/Group Practice 2163916610 Receives reassigned benefits from 1 practitioner
Practice locations: Nicholasville, KY

National Provider Directory

National Provider Directory

Locations

617 Edgewood Dr
Nicholasville, KY 40356

459 Keene Centre Dr
Nicholasville, KY 40356
Phone (859) 241-1136

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1346035524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 KEENE CENTRE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561492",
            "telephone_number": "859-241-1136",
            "fax_number": "859-241-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 KEENE CENTRE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561492",
            "telephone_number": "859-241-1136",
            "fax_number": "859-241-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONLY YOU WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MOBERLY",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-241-1136"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568843316",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.

Verify at the official NPI Registry.