Organization Active NPI

Mt. Juliet Health and Wellness, LLC

  • Family Nurse Practitioner
  • Mt Juliet, TN
National Provider Identifier
1467995779
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MT. JULIET HEALTH AND WELLNESS, LLC
Practice address
1097 Weston Dr
Suite B
Mt Juliet, TN 37122-3493
Phone
(615) 553-5002
Fax
(615) 535-5941
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Andrea D Weddle, FNP
Title
FNP, Owner
Phone
(615) 553-5002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1097 Weston Dr
Suite B
Mt Juliet, TN 37122-3493

Mailing address

1097 Weston Dr Ste B
Mt Juliet, TN 37122-3493
Phone (615) 553-5002

National Provider Directory

National Provider Directory

Locations

1097 Weston Dr
Ste B
Mt Juliet, TN 37122
Phone (615) 553-5002

329 21st Ave N
Ste 1
Nashville, TN 37203
Phone (615) 515-9180

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1467995779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 WESTON DR STE B",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223493",
            "telephone_number": "615-553-5002",
            "fax_number": "615-535-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 WESTON DR",
            "address_2": "SUITE B",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223493",
            "telephone_number": "615-553-5002",
            "fax_number": "615-535-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. JULIET HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "WEDDLE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FNP, OWNER",
        "authorized_official_telephone_number": "615-553-5002",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

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