Uplift Mental Wellness LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

UPLIFT MENTAL WELLNESS LLC

Practice address

333 Tamiami Trail S Suite 288
Venice, FL 34285

Phone

(941) 541-2297

Fax

(941) 200-4539

NPI assigned

Apr 25, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Harkness, APRNNPI 1376008813

Title

Owner

Phone

(304) 921-5324

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn Harkness, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Venice, FL
  • NPI 1376008813
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1689362915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 UNIVERSITY PKWY # 1083",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012012",
            "telephone_number": "941-541-2297",
            "fax_number": "941-200-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TAMIAMI TRAIL S SUITE 288",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34285",
            "telephone_number": "941-541-2297",
            "fax_number": "941-200-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "HARKNESS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-921-5324",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Venice, FL
• Providers in Venice, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.