Organization Active NPI

SJL Wellness LLC

  • Health Service Clinic/Center
  • Lincoln, NE
National Provider Identifier
1891391215
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SJL WELLNESS LLC
Practice address
3600 Village Dr Ste 120
Lincoln, NE 68516-6621
Phone
(402) 432-7702
Fax
(402) 939-0996
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Dr. Samantha J Luther, DC
Title
Owner
Phone
(402) 432-5270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3600 Village Dr Ste 120
Lincoln, NE 68516-6621

Mailing address

3600 Village Dr Ste 120
Lincoln, NE 68516-6621
Phone (402) 432-7702

National Provider Directory

National Provider Directory

Locations

3540 Village Dr
Ste 200
Lincoln, NE 68516
Phone (402) 432-7702

3600 Village Dr
Ste 120
Lincoln, NE 68516
Phone (402) 432-7702

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1891391215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 VILLAGE DR STE 120",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166621",
            "telephone_number": "402-432-7702",
            "fax_number": "402-939-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 VILLAGE DR STE 120",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166621",
            "telephone_number": "402-432-7702",
            "fax_number": "402-939-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-432-5270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.