Organization Active NPI

First Wholistic Healthcare Providers LLC

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1790501583
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FIRST WHOLISTIC HEALTHCARE PROVIDERS LLC
Practice address
6154 Teagarden Cir
Dayton, OH 45449-3014
Phone
(469) 257-3500
NPI assigned
Nov 26, 2024
Last updated
Nov 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Ms. Nana S AmoabeaNPI 1184334609
Title
Owner
Phone
(469) 257-3500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X NU

Addresses

Primary practice location

6154 Teagarden Cir
Dayton, OH 45449-3014

Mailing address

6154 Teagarden Cir
Dayton, OH 45449-3014
Phone (469) 257-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251028003723 OH Part B Supplier - Clinic/Group Practice 8628567807 Receives reassigned benefits from 2 practitioners
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1790501583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6154 TEAGARDEN CIR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493014",
            "telephone_number": "469-257-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6154 TEAGARDEN CIR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493014",
            "telephone_number": "469-257-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST WHOLISTIC HEALTHCARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "AMOABEA",
        "authorized_official_first_name": "NANA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-257-3500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.