Reimagine Weight Loss and Wellness, Inc

Key facts

NPI

1467218271

Entity type

Organization (NPI type 2)

Primary specialty

Family Nurse Practitioner 363LF0000X

Legal business name

REIMAGINE WEIGHT LOSS AND WELLNESS, INC

Practice address

23 Whites Path Ste G
South Yarmouth, MA 02664-1238

Phone

(888) 335-7574

Fax

(866) 874-1023

NPI assigned

Feb 28, 2024

Organization subpart

No

Authorized official

Name

Mrs. Susan Ann Hoover, FNP-C NPI 1255660809

Title

Owner/President

Phone

(616) 403-0326

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Susan A Hoover, NP Family Nurse Practitioner · Hyannis, MA · NPI 1255660809
  NPD Authorized official FAMILY

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 28, 2024.

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1467218271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WHITES PATH STE G",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641238",
            "telephone_number": "888-335-7574",
            "fax_number": "866-874-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WHITES PATH STE G",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641238",
            "telephone_number": "888-335-7574",
            "fax_number": "866-874-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIMAGINE WEIGHT LOSS AND WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "616-403-0326",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, MA

• Paige Elizabeth Rawlins
• Jolene Read
• Erica Reedy
• Rhianna Jeanne Regan
• Daniel J Reida, D.C.
• Kaitlyn Leigh Resener
• Danielle Rioux
• Peter M. Ripley, M.D.
• Caryn Welz Ritchie, RN CS MS
• Keith Bacon Ritchie, P.A.

All providers in South Yarmouth, MA · Family Nurse Practitioner in Massachusetts