Wellness Within

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23342 Issued in MS

Legal business name

WELLNESS WITHIN

Practice address

2202 25TH Ave Ste B
Gulfport, MS 39501-4520

Phone

(228) 206-6843

Fax

(228) 206-6843

NPI assigned

Jun 5, 2017

Last updated

Jun 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Liana Rodriguez, D.O.

Title

Physician & Owner

Phone

(228) 206-6843

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1598294514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395020253",
            "telephone_number": "228-206-6843",
            "fax_number": "228-357-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 25TH AVE STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395014520",
            "telephone_number": "228-206-6843",
            "fax_number": "228-206-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WITHIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LIANA",
        "authorized_official_title_or_position": "PHYSICIAN & OWNER",
        "authorized_official_telephone_number": "228-206-6843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "23342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05351053",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destinie Chantal Weems, LPC
• Emily Hagin Weems
• Colton Anthony Wegrzyn, IDC
• Molly H Weir
• Wellcare Labs, LLC
• Jason Wells, CRNA
• Michaela Cheyenne Wells, NP-C
• Robert C Wessler, M.D
• Christen R Westbrook
• Raun Joseph Wetzel, M.D.

• Internal Medicine Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.