NPIMap

Organization Active NPI

Bay Minette Health and Wellness LLC

  • Clinic/Center
  • Bay Minette, AL
National Provider Identifier
1396415469
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BAY MINETTE HEALTH AND WELLNESS LLC
Practice address
2012 Hand Ave
Bay Minette, AL 36507-4115
Phone
(251) 401-4521
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Jennifer Overstreet, NPNPI 1902435282
Title
Owner
Phone
(251) 401-4521

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2012 Hand Ave
Bay Minette, AL 36507-4115

Mailing address

PO Box 1807
Bay Minette, AL 36507-1807
Phone (251) 401-4521

Other practice location 1

43353 Overstreet Rd
Bay Minette, AL 36507-7649
Phone (251) 401-4521

National Provider Directory

National Provider Directory

Locations

2012 Hand Ave
Bay Minette, AL 36507
Phone (251) 401-4521

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1396415469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1807",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365071807",
            "telephone_number": "251-401-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074115",
            "telephone_number": "251-401-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43353 Overstreet Rd",
            "address_purpose": "LOCATION",
            "city": "Bay Minette",
            "state": "AL",
            "postal_code": "365077649",
            "country_code": "US",
            "telephone_number": "251-401-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY MINETTE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-401-4521",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.