Organization Active NPI

Holistic Mind and Wellness, LLC

  • Family Nurse Practitioner
  • Bowling Green, OH
National Provider Identifier
1669296224
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOLISTIC MIND AND WELLNESS, LLC
Practice address
141 E Court St
Bowling Green, OH 43402-2467
Phone
(419) 575-7911
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Matthew EifridNPI 1679973630
Title
Authrized Official
Phone
(419) 575-7911

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

141 E Court St
Bowling Green, OH 43402-2467

Mailing address

711 Barnstable LN
Bowling Green, OH 43402-8740

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": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1669296224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BARNSTABLE LN",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434028740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E COURT ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022467",
            "telephone_number": "419-575-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MIND AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "EIFRID",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "AUTHRIZED OFFICIAL",
        "authorized_official_telephone_number": "419-575-7911"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.