Mibohe Wellness Incorporated

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

MIBOHE WELLNESS INCORPORATED

Practice address

501 S Austin Ave
BLDG 2 Suite 202
Georgetown, TX 78626-5637

Phone

(512) 686-1107

NPI assigned

May 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Heather Karina Loyo, PH.D., MBA, R.M.T.NPI 1912274648

Title

Ceo

Phone

(512) 686-1107

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Heather Karina Loyo, PH.D., MBA, RMT

  • Massage Therapist
  • Georgetown, TX
  • NPI 1912274648

  Health Educator

  NPD (past) Authorized official

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1720347792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S AUSTIN AVE",
            "address_2": "BLDG 2 SUITE 202",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265637",
            "telephone_number": "512-686-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S AUSTIN AVE",
            "address_2": "BLDG 2 SUITE 202",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265637",
            "telephone_number": "512-686-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIBOHE WELLNESS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "LOYO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "KARINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-686-1107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., MBA, R.M.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "ME2351",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill R Meredith, APRN,PNP-PC
• Celicia K Merritt
• Merton Medical
• Metx LLC
• Elena I Meza, MD
• Vienna Michaelsen, LPC
• Penny Mickan, M.S.
• Latonya Miles
• Andi Tucker Miller, SLP
• Ashley Nicole Miller

• Health Educator in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Health Educator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.