Active NPI
Epiwell, LLC
- Health Educator
- Ithaca, NY
National Provider Identifier
1629588306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Magnolia Ariza-Nieto
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interpreter | 171R00000X | |||
| Health Educator | 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 DirectoryPractitioners & 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.