Active NPI
Healing Well Integrative Community Healthcare Services LLC
- Family Nurse Practitioner
- Lexington, KY
National Provider Identifier
1518615152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HEALING WELL INTEGRATIVE COMMUNITY HEALTHCARE SERVICES LLC
- Practice address
- 1426 N Forbes Rd
Lexington, KY 40511-8995 - Phone
- (859) 492-9864
- NPI assigned
- Mar 14, 2022
- Last updated
- Aug 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlette Deniene Thompson, APRN
- Title
- Ceo
- Phone
- (859) 492-9864
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU |
Addresses
Primary practice location
1426 N Forbes Rd
Lexington, KY 40511-8995
Mailing address
296 Meadow Valley Rd
Lexington, KY 40511-8788
Phone (859) 492-9864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1426 N Forbes Rd
Lexington, KY 40511
Phone (859) 492-9864
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723334400000",
"number": "1518615152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 MEADOW VALLEY RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405118788",
"telephone_number": "859-492-9864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 N FORBES RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405118995",
"telephone_number": "859-492-9864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING WELL INTEGRATIVE COMMUNITY HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-14",
"last_updated": "2024-08-11",
"certification_date": "2024-08-11",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "CHARLETTE",
"authorized_official_middle_name": "DENIENE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "859-492-9864",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.