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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190215000215 | MS | Part B Supplier - Clinic/Group Practice | 2567700651 |
Receives reassigned benefits from 3 practitioners Practice locations: Ridgeland, MS |
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) 527-4659
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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
- 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.