Organization Active NPI

Healthwise Advanced Practice Partners

  • Clinic/Center
  • Bridgeton, MO
National Provider Identifier
1801524319
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEALTHWISE ADVANCED PRACTICE PARTNERS
Practice address
3490 Hollenberg Dr
Bridgeton, MO 63044-2429
Phone
(314) 500-0716
Fax
(314) 463-0755
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Laquita Danielle Lewis, ACNP-BCNPI 1669743241
Title
Owner
Phone
(314) 624-1317

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3490 Hollenberg Dr
Bridgeton, MO 63044-2429

Mailing address

14472 Williamsburg Manor Dr
Florissant, MO 63034-1753
Phone (314) 479-6473

Other identifiers 2

IdentifierTypeStateIssuer
1669743241OtherMONPI
101740097MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@happts.com Direct

National Provider Directory

National Provider Directory

Locations

3490 Hollenberg Dr
Bridgeton, MO 63044
Phone (314) 500-0716

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1801524319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14472 WILLIAMSBURG MANOR DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630341753",
            "telephone_number": "314-479-6473",
            "fax_number": "314-463-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 HOLLENBERG DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442429",
            "telephone_number": "314-500-0716",
            "fax_number": "314-463-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE ADVANCED PRACTICE PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LAQUITA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-624-1317",
        "authorized_official_credential": "ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669743241",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101740097",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@happts.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3490 Hollenberg Dr",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.