Wise Mind and Body, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WISE MIND AND BODY, LLC

Practice address

142 Nims Spring Dr
Fort Mill, SC 29715-6461

Phone

(631) 512-9807

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Joanna Wiseman, NPNPI 1124646237

Title

Ceo/Owner

Phone

(631) 512-9807

Specialties & licenses 1

Addresses

Other names 1

• Wise Mind and Body, LLC Former legal business name

Practitioners 1

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

• Joanna Wiseman, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1124646237
  NPD Authorized official

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1417721630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 NIMS SPRING DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297156461",
            "telephone_number": "631-512-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 NIMS SPRING DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297156461",
            "telephone_number": "631-512-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND AND BODY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "631-512-9807",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Mind and Body, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Margaret Williams
• Scottie L. Williams, D.C.
• Kelly Taylor Williamson, FNP
• Laurie Kimbrell Wilson
• Pamala Ann Wilson, L.M., C.P.M
• Amanda Witbeck, RPH
• Isabelle Witzel, OTR/L
• WKJ Unlimited, LLC
• Caroline Wogon, CCC-SLP
• Raely Wolfe

• Psychiatric/Mental Health Nurse Practitioner in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.