Organization Active NPI

Wellness Healthcare Products LLC

  • Customized Equipment (DME)
  • Cookeville, TN
National Provider Identifier
1447258595
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
WELLNESS HEALTHCARE PRODUCTS LLC
Practice address
1430 Interstate Dr
Cookeville, TN 38501-4123
Phone
(888) 901-2101
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Karen S Dunn
Title
Owner
Phone
(888) 901-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1430 Interstate Dr
Cookeville, TN 38501-4123

Mailing address

1430 Interstate Dr
Cookeville, TN 38501-4123
Phone (888) 901-2101

Other identifiers 2

IdentifierTypeStateIssuer
7100227060MedicaidKY
3109006MedicaidTN

Other names 1

  • Express Footwear Doing business as

National Provider Directory

National Provider Directory

Locations

1430 Interstate Dr
Cookeville, TN 38501
Phone (888) 901-2101

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1447258595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 INTERSTATE DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014123",
            "telephone_number": "888-901-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 INTERSTATE DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014123",
            "telephone_number": "888-901-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HEALTHCARE PRODUCTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-901-2101"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100227060",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3109006",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Footwear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.