Queens Weight & Wellness Center

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

QUEENS WEIGHT & WELLNESS CENTER

Practice address

16266 Prince Dr
South Holland, IL 60473-3233

Phone

(708) 222-7333

Fax

(708) 221-0501

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Kenisha Davis, APRN

Title

Owner

Phone

(708) 222-7333

Specialties & licenses 3

Addresses

Other names 1

• N'tuitive Wellness Solutions Doing business as

Locations

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1619617644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16266 PRINCE DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733233",
            "telephone_number": "708-222-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16266 PRINCE DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733233",
            "telephone_number": "708-222-7333",
            "fax_number": "708-221-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS WEIGHT & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-222-7333",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N'tuitive Wellness Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prairie Oasis, LLC
• Premium PT Solutions LLC
• Premium PT Solutions LLC
• Qualitylife Healthcare,LLC
• Qualitylife Healthcare,LLC
• Baroukh Radfar, MD
• Kathryn Lenelle Ragland, IBCLC
• Sherry Rainge-Hester, MSCCC-SLP-L
• Vijaykumar Rao, M.D.
• Rasidi Consulting Associates Inc

• Psychiatric/Mental Health Nurse Practitioner in South Holland, IL
• Providers in South Holland, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.