Organization Active NPI

Wholesome Wellness LLC

  • Clinic/Center
  • Merrillville, IN
National Provider Identifier
1477146405
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WHOLESOME WELLNESS LLC
Practice address
6830 Meadow View LN
Merrillville, IN 46410-3994
Phone
(219) 613-8130
NPI assigned
Feb 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2021

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

Authorized official

Name
Dr. Amanda Yarbrough, NP
Title
Owner/Nurse Practitioner
Phone
(219) 613-8130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6830 Meadow View LN
Merrillville, IN 46410-3994

Mailing address

6830 Meadow View LN
Merrillville, IN 46410-3994
Phone (219) 613-8130

National Provider Directory

National Provider Directory

Locations

3907 Calumet Ave
Ste 207
Valparaiso, IN 46383

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25132/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1613779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613779200000",
    "number": "1477146405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 MEADOW VIEW LN",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103994",
            "telephone_number": "219-613-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 MEADOW VIEW LN",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103994",
            "telephone_number": "219-613-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A",
        "authorized_official_last_name": "YARBROUGH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "219-613-8130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.