NPIMap

Organization Active NPI

Health and Wellness Clinic, LLC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1679969422
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05469 Issued in KS
Legal business name
HEALTH AND WELLNESS CLINIC, LLC
Practice address
7423 Metcalf Ave
Overland Park, KS 66204-1975
Phone
(913) 579-1154
Fax
(913) 273-0081
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Connie Yvonne Chipp-Nathaniel, DCNPI 1821363193
Title
Owner
Phone
(513) 254-2397

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01-05469 KS Primary

Addresses

Primary practice location

7423 Metcalf Ave
Overland Park, KS 66204-1975

Mailing address

PO Box 4444
Overland Park, KS 66204-0444
Phone (913) 579-1154

Other names 1

  • The Health and Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

7423 Metcalf Ave
Overland Park, KS 66204
Phone (513) 254-2397

7419 Metcalf Ave
Overland Park, KS 66204
Phone (913) 579-1154

11902 Blue Ridge Ext
Ste N
Grandview, MO 64030
Phone (816) 808-9900

Practitioners & affiliated clinicians

Practitioners 7

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": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1679969422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4444",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662040444",
            "telephone_number": "913-579-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041975",
            "telephone_number": "913-579-1154",
            "fax_number": "913-273-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "CHIPP-NATHANIEL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-254-2397",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Health and Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.