Active NPI
Abundant Wellness
- Nurse Practitioner
- Ridgeland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ABUNDANT WELLNESS
- Practice address
- 101 W Washington St Ste C1
Ridgeland, MS 39157-2434 - Phone
- (601) 856-2383
- NPI assigned
- Nov 26, 2018
- Last updated
- Feb 27, 2020
- 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
- Dana Germany
- Title
- FNP
- Phone
- (601) 527-4659
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
101 W Washington St Ste C1
Ridgeland, MS 39157-2434
Mailing address
101 W Washington St Ste C1
Ridgeland, MS 39157-2434
Phone (601) 856-2383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2181438 | Abundant Wellness | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
101 W Washington St
Ste C
Ridgeland, MS 39157
Phone (601) 856-2383
101 W Washington St
Ste C1
Ridgeland, MS 39157
Phone (601) 856-2383
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Nurse Practitioner
- Ridgeland, MS
- NPI 1265795678
-
- Chiropractor
- Ridgeland, MS
- NPI 1255855748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582761600000",
"number": "1629548359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W WASHINGTON ST STE C1",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572434",
"telephone_number": "601-856-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W WASHINGTON ST STE C1",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572434",
"telephone_number": "601-856-2383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-26",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A",
"authorized_official_last_name": "GERMANY",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "601-527-4659"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
- Abiding Love and Assistance Sitting Agency
- Abigayle Adult Day Care
- Abode Care Partners Al VB, LLC
- Abode Care Partners LTC VB, LLC
- Abode Care Partners VB, LLC
- Achievement Rehabilitation and Physical Therapy, PLLC
- Acoustic Wave Treatment Center of Ms LLC (Innovative Health Clinic)
- Action Chiropractic Center
- Adore Home Healthcare, LLC
- Advance Care DME & Medical Supplies, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.