MW Wellness Xvii, LLC

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

License

BL007515-01-2015 Issued in SC

Legal business name

MW WELLNESS XVII, LLC

Practice address

4407 Old Shell Rd Ste D
Mobile, AL 36608-1924

Phone

(813) 228-6334

NPI assigned

Jun 24, 2015

Organization subpart

No

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

Authorized official

Name

Jodi Despoy

Title

Manager

Phone

(813) 228-6334

Specialties & licenses 1

Addresses

Other names 2

• Medi-Weightloss Doing business as
• Cheshire Weightloss LLC Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henley Crossan, NP

  • Nurse Practitioner
  • Mobile, AL
  • NPI 1104526169
  NPD
• Hayley Jones Brooks

  • Family Nurse Practitioner
  • Bay Minette, AL
  • NPI 1073285201
  NPD (past)
• Jennifer L Byrd, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
  • NPI 1679912190
  NPD (past)
• Karen L Jimenez, M.D

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1659395341
  NPD (past)

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1356723563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S HYDE PARK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062266",
            "telephone_number": "813-228-6334",
            "fax_number": "813-228-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 OLD SHELL RD STE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081924",
            "telephone_number": "813-228-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MW WELLNESS XVII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "DESPOY",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-228-6334"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "SC",
            "license": "BL007515-01-2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Weightloss",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medi-Weightloss",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cheshire Weightloss LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Valerie Herring Musial, D.M.D
• Christopher Musselwhite
• Courtney Wolf Mutabazi, RN, MSN
• Krithika Reddy Muthyala, MD
• Lorrine Mutua
• Lukasz Myc, M.D.
• April Myers
• Ashley Diana Myers, M.D.
• Debra S Myers, OT
• Larry P Myers, R.PH.

• Obesity Medicine (Family Medicine) Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Obesity Medicine (Family Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.