Active NPI
Metta Vita Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Mill, SC
National Provider Identifier
1629688171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- METTA VITA HEALTH LLC
- Practice address
- 1808 Second Baxter Xing Ste 208
Fort Mill, SC 29708-6492 - Phone
- (419) 297-3657
- Fax
- (833) 728-0366
- NPI assigned
- Aug 8, 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
- Mrs. Lindsey Nicole Bauman, NP
- Title
- NP
- Phone
- (419) 297-3657
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | |||
| Pediatric Nurse Practitioner | 363LP0200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1808 Second Baxter Xing Ste 208
Fort Mill, SC 29708-6492
Mailing address
1808 Second Baxter Xing
Suite 208
Fort Mill, SC 29708
Phone (419) 297-3657
Other names 1
- Lindsey B. Health Services LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lindseyb@Mettavitalhealth.com | Direct |
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Mill, SC
- NPI 1184969057
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706745600000",
"number": "1629688171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 SECOND BAXTER XING",
"address_2": "SUITE 208",
"city": "FORT MILL",
"state": "SC",
"postal_code": "29708",
"telephone_number": "419-297-3657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 SECOND BAXTER XING STE 208",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086492",
"telephone_number": "419-297-3657",
"fax_number": "833-728-0366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METTA VITA HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-08",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A",
"authorized_official_last_name": "BAUMAN",
"authorized_official_first_name": "LINDSEY",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "419-297-3657",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"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": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lindseyb@Mettavitalhealth.com",
"affiliation": "N",
"endpointDescription": "domain mettavitahealth.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "331 E Main St Ste 200",
"city": "Rock Hill",
"state": "SC",
"country_code": "US",
"postal_code": "297305384",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Lindsey B. Health Services LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Lindsey B. Health Services LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.