NP Health & Wellness Center a Professional Nursing Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

NP HEALTH & WELLNESS CENTER A PROFESSIONAL NURSING CORPORATION

Practice address

1429 E Thousand Oaks Blvd
#108
Thousand Oaks, CA 91362

Phone

(805) 719-1700

Fax

(805) 719-1711

NPI assigned

Oct 18, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Lynn Coates-Leisen, NP-C

Title

Ce0 / Employee of Corporation

Phone

(805) 719-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1366041733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 E THOUSAND OAKS BLVD",
            "address_2": "#108",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622801",
            "telephone_number": "805-719-1700",
            "fax_number": "805-719-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 E THOUSAND OAKS BLVD",
            "address_2": "#108",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-719-1700",
            "fax_number": "805-719-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NP HEALTH & WELLNESS CENTER A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-18",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "COATES-LEISEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CE0 / EMPLOYEE OF CORPORATION",
        "authorized_official_telephone_number": "805-719-1700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1134523558",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ThousandOaks",
            "affiliation": "N",
            "endpointDescription": "PHI",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "PHI",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ThousandOaks",
            "address_1": "1000 Newbury Rd Ste 210",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913206441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Office",
            "affiliation": "N",
            "endpointDescription": "PHI",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "PHI",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "1429 E THOUSAND OAKS BLVD",
            "address_2": "108",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "country_code": "US",
            "postal_code": "91362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nurse Practitioner in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.