Active NPI
Wisdom & Wellness
- Adult Health Nurse Practitioner
- Westerville, OH
National Provider Identifier
1639462765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NP-11102
- Legal business name
- WISDOM & WELLNESS
- Practice address
- 659 Park Meadow Rd Ste J
Westerville, OH 43081-2879 - Phone
- (614) 899-6877
- Fax
- (614) 899-6820
- NPI assigned
- May 23, 2011
- 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. Luann B. Lavin, C.N.P.
- Title
- Owner
- Phone
- (614) 738-3686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP-11102 | OH | Primary |
Addresses
Primary practice location
659 Park Meadow Rd Ste J
Westerville, OH 43081-2879
Mailing address
PO Box 2207
Westerville, OH 43086-2207
Phone (614) 899-6877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3139473 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
659 Park Meadow Rd
Ste J
Westerville, OH 43081
Phone (614) 899-6877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322006400000",
"number": "1639462765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2207",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430862207",
"telephone_number": "614-899-6877",
"fax_number": "614-899-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 PARK MEADOW RD STE J",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812879",
"telephone_number": "614-899-6877",
"fax_number": "614-899-6820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISDOM & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-23",
"last_updated": "2011-11-23",
"status": "A",
"authorized_official_last_name": "LAVIN",
"authorized_official_first_name": "LUANN",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-738-3686",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "C.N.P."
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "NP-11102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3139473",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.