Wellnessfirst of Sullivan

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELLNESSFIRST OF SULLIVAN

Practice address

222 W Beech St
Sullivan, IN 47882-1462

Phone

(812) 268-3400

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Michelle Clothier

Title

Executive Director

Phone

(812) 268-3400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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.

• Ryan Bachman, DC

  • Chiropractor
  • Sullivan, IN
  • NPI 1710700265
  Medicare reassignment Care Compare group NPD
• Carson Sandy, DC

  • Chiropractor
  • Sullivan, IN
  • NPI 1770300188
  Medicare reassignment Care Compare group NPD
• Sara Trimble, DC, LMT

  • Chiropractor
  • Edwardsport, IN
  • NPI 1154819399
  Medicare reassignment NPD
• Thomas J Newbauer, D.C.

  • Chiropractor
  • Sullivan, IN
  • NPI 1013903186
  NPD

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1427503580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W BEECH ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821462",
            "telephone_number": "812-268-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W BEECH ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821462",
            "telephone_number": "812-268-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSFIRST OF SULLIVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "CLOTHIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-268-3400"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristie Walker, RPH
• Edward Joseph Walker, RPH
• Angela D Walters, FNP-C
• Elizabeth Anne Weathers, PTA
• Morgan Welch
• Wellnessfirstchiropractic Inc.
• Jaren Woodard, PHARMD

• Chiropractor in Sullivan, IN
• Providers in Sullivan, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.