Medlifefit Medical Spa Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDLIFEFIT MEDICAL SPA INC

Practice address

1442 Horn St Ste a&B
Clarksville, IN 47129-6701

Phone

(812) 924-7167

Fax

(812) 924-7210

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Dowe, MDNPI 1265497499

Title

Owner

Phone

(502) 797-9656

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica D Dowe, M.D.

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1265497499
  NPD Authorized official

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1689372880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 HORN ST STE A&B",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471296701",
            "telephone_number": "502-797-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 HORN ST STE A&B",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471296701",
            "telephone_number": "812-924-7167",
            "fax_number": "812-924-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFEFIT MEDICAL SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "DOWE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-797-9656",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265497499",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsie McHale
• Julia Kristin McKinney, OTR
• Angela Lynne McKinstry, BA SOCIOLOGY, MATS
• Jaime Lyn McLain, PHARMD
• Paige Medley
• John Garry Mestel, O.D.
• Sydney M Michell, RBT
• Pamela A Middleton, M.D.
• Hannah F Mifflin, RBT
• Richard H Milburn

• Family Medicine Physician in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.