Active NPI
Health 419, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Maumee, OH
National Provider Identifier
1700612637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HEALTH 419, LLC
- Practice address
- 1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055 - Phone
- (419) 740-0738
- Fax
- (419) 273-0586
- NPI assigned
- Sep 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Fuhr, NP
- Title
- Pmhnp/Owner
- Phone
- (419) 740-0738
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1715 Indian Wood Cir Ste 200
Maumee, OH 43537-4055
Mailing address
1216 Michigan Ave.
Waterville, OH 43566
Phone (419) 740-0738
Other practice location 1
1216 Michigan Ave.
Waterville, OH 43566
Phone (419) 740-0738
National Provider Directory
National Provider DirectoryLocations
1216 Michigan Ave
Waterville, OH 43566
Phone (419) 740-0738
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Waterville, OH
- NPI 1114452042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773100800000",
"number": "1700612637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 MICHIGAN AVE.",
"city": "WATERVILLE",
"state": "OH",
"postal_code": "43566",
"telephone_number": "419-740-0738",
"fax_number": "419-273-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 INDIAN WOOD CIR STE 200",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435374055",
"telephone_number": "419-740-0738",
"fax_number": "419-273-0586"
}
],
"practiceLocations": [
{
"address_1": "1216 Michigan Ave.",
"address_purpose": "LOCATION",
"city": "Waterville",
"state": "OH",
"postal_code": "43566",
"country_code": "US",
"telephone_number": "419-740-0738",
"fax_number": "419-273-0586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALTH 419, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-09",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A",
"authorized_official_last_name": "FUHR",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "PMHNP/OWNER",
"authorized_official_telephone_number": "419-740-0738",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.