Active NPI
Pathway to Wellness, LLC
- Public Health & General Preventive Medicine Physician
- Jackson, MS
National Provider Identifier
1952737124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- PATHWAY TO WELLNESS, LLC
- Practice address
- 5839 Pear Orchard Rd
Jackson, MS 39211-3311 - Phone
- (769) 572-4286
- NPI assigned
- Sep 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Getty E Israel, M.PH
- Title
- Executive Director
- Phone
- (769) 572-4286
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Health Educator | 174H00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Internal Medicine Physician | 207R00000X | 12329 | MS | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | Primary |
Addresses
Primary practice location
5839 Pear Orchard Rd
Jackson, MS 39211-3311
Mailing address
5839 Pear Orchard Rd
Jackson, MS 39211-3311
Phone (769) 572-4286
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392681600000",
"number": "1952737124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5839 PEAR ORCHARD RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392113311",
"telephone_number": "769-572-4286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5839 PEAR ORCHARD RD",
"city": "JACKSON",
"state": "MS",
"postal_code": "392113311",
"telephone_number": "769-572-4286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAY TO WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-19",
"last_updated": "2014-02-18",
"status": "A",
"authorized_official_last_name": "ISRAEL",
"authorized_official_first_name": "GETTY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "769-572-4286",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.PH"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MS",
"license": "12329",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.