De Morgan Wellness Group

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

COA07003NP Issued in OH

Legal business name

DE MORGAN WELLNESS GROUP

Doing business as

The Demorgan Wellness Group, LLC
The De Morgan Wellness Group

Practice address

7271 N Main St Ste 2
Dayton, OH 45415-2561

Phone

(937) 609-0566

Fax

(937) 991-0089

NPI assigned

Feb 1, 2017

Last updated

Mar 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sandy Marie Anderson, FNPNPI 1871685792

Title

Owner

Phone

(937) 247-6360

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 2

• THE DEMORGAN WELLNESS GROUP, LLC Doing business as
• The De Morgan Wellness Group Doing business as

Electronic endpoints 2

Locations

Interoperability endpoints

• Direct secure messaging: sandyanderson@demorganwellness.officeally.direct

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.

• Sandy M Anderson, APRN-BC

  • Family Nurse Practitioner
  • Dayton, OH
  • NPI 1871685792
  Authorized official Same address or phone
• Robert Welch Jr.

  • Case Manager/Care Coordinator
  • Dayton, OH
  • NPI 1053845701
  NPD (past)

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1881132660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7271 N MAIN ST STE 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152561",
            "telephone_number": "937-991-0082",
            "fax_number": "937-771-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7271 N MAIN ST STE 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152561",
            "telephone_number": "937-609-0566",
            "fax_number": "937-991-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE MORGAN WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-247-6360",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "COA07003NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1871685792",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2388901",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881132660",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SandyAnderson@DeMorganwellness.officeally.direct",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7271 N Main St Ste 2",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454152561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SandyAnderson@DeMorganwellness.officeally.direct",
            "affiliation": "Y",
            "endpointDescription": "endpoint to ehr",
            "affiliationName": "Office Ally, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "html",
            "address_1": "1300 se cardinal drive",
            "address_2": "Court ste 900",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "THE DEMORGAN WELLNESS GROUP, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The De Morgan Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The De Morgan Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Karl Lachica De Dios, MD
• Carl Denver De Guzman
• Samantha De Leon-McAfee
• Francesca Sofia Calleri De Luca
• Massimo De Marchis, PSY.D.
• Robert Andre De Roziere Jr., FNP
• Jennifer Maria De Vries, MD
• De'Asia L. Thompson, Lisw, LLC (Rise Counseing Group)
• Deaf Community Resource Center
• Brandi Myetta Dean

• Primary Care Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; 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.