Wild Prema Yoga

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WILD PREMA YOGA

Practice address

148 Mini Mall Dr
Berea, KY 40403-1170

Phone

(859) 267-3287

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Vivian Karutz

Title

Owner

Phone

(859) 267-3287

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1598425902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 SQUIRE OAK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151330",
            "telephone_number": "859-267-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MINI MALL DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031170",
            "telephone_number": "859-267-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD PREMA YOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "KARUTZ",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-267-3287",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Watson
• Kayla Michelle Webb, DDS
• Wee Kare Educational Services LLC
• Darwin Patrick Whitaker, PAC
• Darah Whitmer, CSW
• Derrick H Williams, D.O.
• Sandra Lee Williams, ATC
• Heather Wilson
• Rachel Elizabeth Wilson, CF-SLP
• Robyn Ann Wilson, M.ED., LPCA

• Health Service Clinic/Center in Berea, KY
• Providers in Berea, KY by specialty
• Health Service Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.