Organization Active NPI

Wisdom & Wellness

  • Adult Health Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1639462765
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP-11102 Issued in OH
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

Updated by the provider on Nov 23, 2011

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)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3139473MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.