Organization Active NPI

Victress Health and Wellness LLC

  • Primary Care Clinic/Center
  • Wapakoneta, OH
National Provider Identifier
1447166855
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VICTRESS HEALTH AND WELLNESS LLC
Practice address
5 N Blackhoof St
Wapakoneta, OH 45895-1432
Phone
(937) 557-5657
Fax
(513) 230-2024
NPI assigned
Aug 24, 2026
Organization subpart
Yes
Parent organization
VICTRESS HEALTH AND WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Erin E Hazelbaker, MPT
Title
Ceo
Phone
(937) 557-5657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5 N Blackhoof St
Wapakoneta, OH 45895-1432

Mailing address

5 N Blackhoof St
Wapakoneta, OH 45895-1432
Phone (937) 557-5657

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1447166855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N BLACKHOOF ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951432",
            "telephone_number": "937-557-5657",
            "fax_number": "513-230-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N BLACKHOOF ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951432",
            "telephone_number": "937-557-5657",
            "fax_number": "513-230-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTRESS HEALTH AND WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTRESS HEALTH AND WELLNESS LLC",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "HAZELBAKER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-557-5657",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.