NPIMap

Organization Active NPI

Mindful Child Wellness

  • Clinic/Center
  • Prairie Village, KS
National Provider Identifier
1346831898
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MINDFUL CHILD WELLNESS
Practice address
7830 State Line Rd Ste 100
Prairie Village, KS 66208-3703
Phone
(913) 660-8219
NPI assigned
Jan 28, 2021
Last updated
Jan 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MINDFUL CHILD AERIAL YOGAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Dr. Tracy L Daniel, PH.D.
Title
Owner
Phone
(913) 660-8219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7830 State Line Rd Ste 100
Prairie Village, KS 66208-3703

Mailing address

7830 State Line Rd Ste 100
Prairie Village, KS 66208-3703

Other names 1

  • Mindful Child Aerial Yoga Former legal business name

National Provider Directory

National Provider Directory
Part of
Mindful Child Wellness

Locations

7830 State Line Rd
Ste 100
Prairie Village, KS 66208
Phone (913) 289-0055

Practitioners & affiliated clinicians

Practitioners 3

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1346831898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 STATE LINE RD STE 100",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 STATE LINE RD STE 100",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083703",
            "telephone_number": "913-660-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CHILD WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDFUL CHILD AERIAL YOGA",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-660-8219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Child Aerial Yoga",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.