NPIMap

Organization Active NPI

Wellness Within, LLC

  • Case Manager/Care Coordinator
  • Ketchikan, AK
National Provider Identifier
1457135030
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
WELLNESS WITHIN, LLC
Practice address
215 Main St. #211
Ketchikan, AK 99901
Phone
(072) 541-6909
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Sharyl YeisleyNPI 1861804338
Title
Owner/Program Administrator
Phone
(072) 541-6909

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
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

215 Main St. #211
Ketchikan, AK 99901

Mailing address

PO Box 5284
Ketchikan, AK 99901-0284
Phone (907) 254-1690

National Provider Directory

National Provider Directory

Locations

215 Main St
#211
Ketchikan, AK 99901
Phone (907) 254-1690

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1457135030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5284",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999010284",
            "telephone_number": "907-254-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MAIN ST. #211",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "99901",
            "telephone_number": "072-541-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WITHIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "YEISLEY",
        "authorized_official_first_name": "SHARYL",
        "authorized_official_title_or_position": "OWNER/PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "072-541-6909"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.