Earthside Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EARTHSIDE HEALTH AND WELLNESS LLC

Practice address

5340 Rapid Run Rd Ste 8
Cincinnati, OH 45238-4260

Phone

(513) 506-0345

Fax

(513) 880-0764

NPI assigned

Dec 29, 2022

Organization subpart

No

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

Authorized official

Name

Taylor Schroeder, CNP, PMHNP-BCNPI 1477169258

Title

Owner

Phone

(513) 305-9093

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Earthside Health and Wellness LLC Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Schroeder, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Chester, OH
  • NPI 1477169258
  NPD Authorized official

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1982317442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 RAPID RUN RD STE 8",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384260",
            "telephone_number": "513-506-0345",
            "fax_number": "513-880-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 RAPID RUN RD STE 8",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384260",
            "telephone_number": "513-506-0345",
            "fax_number": "513-880-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTHSIDE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-305-9093",
        "authorized_official_credential": "CNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAYLOR SCHROEDER",
            "identifier": "1477169258",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contact@earthsidehealthandwellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "5340 Rapid Run Rd Ste 8",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452384260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Earthside Health and Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Earthside Health and Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicholas Early, MD
• Chad Lee Earlywine, CDCA
• Jessica Earlywine
• Melinda Earnest, PT, AT, DPT, ATC
• Gina Earsley
• Kathryn Josephine Eary, MD
• Carmille S Easley, LPN
• Dreconda Lynn Easley
• Geralisa Easley
• Sarah F, Easley, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.