Organization Active NPI

Better Health & Welness Clinic LLC

  • Primary Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1407610702
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
BETTER HEALTH & WELNESS CLINIC LLC
Practice address
9131 Fern Creek Rd
Louisville, KY 40291-2711
Phone
(502) 855-0193
NPI assigned
Feb 8, 2024
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Dev SubediNPI 1508689522
Title
Ceo
Phone
(502) 855-0193

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
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

9131 Fern Creek Rd
Louisville, KY 40291-2711

Mailing address

15504 Crystal Valley Way
Louisville, KY 40299-6904
Phone (502) 855-0193

Other names 1

  • PRIMARY CARE CLINIC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240418001908 KY Part B Supplier - Clinic/Group Practice 6305285727 Receives reassigned benefits from 3 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1407610702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15504 CRYSTAL VALLEY WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996904",
            "telephone_number": "502-855-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 FERN CREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402912711",
            "telephone_number": "502-855-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER HEALTH & WELNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "SUBEDI",
        "authorized_official_first_name": "DEV",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-855-0193"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY CARE CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.