NPIMap

Organization Active NPI

Holistic Wellness Group, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clanton, AL
National Provider Identifier
1891369823
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOLISTIC WELLNESS GROUP, LLC
Practice address
808 Lay Dam Rd
Clanton, AL 35045-2943
Phone
(205) 369-1273
Fax
(205) 369-1273
NPI assigned
May 14, 2021
Last updated
Dec 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Authorized official

Name
Melissa Ashley, CRNPNPI 1427679711
Title
Prescriber/Member
Phone
(205) 430-9966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

808 Lay Dam Rd
Clanton, AL 35045-2943

Mailing address

125 Cobb Dr
Jemison, AL 35085-4197
Phone (205) 430-9966

Other identifiers 1

IdentifierTypeStateIssuer
270189MedicaidAL

Other names 1

  • Holistic Wellness Group, LLC Former legal business name

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25772/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1891369823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COBB DR",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "350854197",
            "telephone_number": "205-430-9966",
            "fax_number": "915-223-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 LAY DAM RD",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452943",
            "telephone_number": "205-369-1273",
            "fax_number": "205-369-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESCRIBER/MEMBER",
        "authorized_official_telephone_number": "205-430-9966",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270189",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Wellness Group, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.