NPIMap

Organization Active NPI

Body Wisdom Wellness

  • Obesity Medicine (Preventive Medicine) Physician
  • Smyrna, DE
National Provider Identifier
1851913263
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
Legal business name
BODY WISDOM WELLNESS
Practice address
1000 Smyrna Clayton Blvd Ste 3
Smyrna, DE 19977-2228
Phone
(302) 508-5511
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Ms. Ladonna Graham, NATUROPATHIC PRACTITNPI 1184246498
Title
Owner
Phone
(302) 377-4088

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
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083B0002X Primary

Addresses

Primary practice location

1000 Smyrna Clayton Blvd Ste 3
Smyrna, DE 19977-2228

Mailing address

1000 Smyrna Clayton Blvd Ste 3
Smyrna, DE 19977-2228
Phone (302) 508-5511

National Provider Directory

National Provider Directory

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": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1851913263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SMYRNA CLAYTON BLVD STE 3",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199772228",
            "telephone_number": "302-508-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SMYRNA CLAYTON BLVD STE 3",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199772228",
            "telephone_number": "302-508-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WISDOM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-377-4088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NATUROPATHIC PRACTIT"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.