Organization Active NPI

Epiwell, LLC

  • Health Educator
  • Ithaca, NY
National Provider Identifier
1629588306
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
EPIWELL, LLC
Practice address
108 Aster LN Apt 215
Ithaca, NY 14850-1372
Phone
(607) 229-2780
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Dr. Magnolia Ariza-NietoNPI 1710533849
Title
Founder-Ceo/ Pi
Phone
(607) 229-2780

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
InterpreterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171R00000X
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

108 Aster LN Apt 215
Ithaca, NY 14850-1372

Mailing address

108 Aster LN Apt 215
Ithaca, NY 14850-1372
Phone (607) 229-2780

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1629588306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ASTER LN APT 215",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501372",
            "telephone_number": "607-229-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ASTER LN APT 215",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501372",
            "telephone_number": "607-229-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "ARIZA-NIETO",
        "authorized_official_first_name": "MAGNOLIA",
        "authorized_official_title_or_position": "FOUNDER-CEO/ PI",
        "authorized_official_telephone_number": "607-229-2780",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.