Organization Active NPI

TNJ Wellness LLC

  • Primary Care Nurse Practitioner
  • Washington, DC
National Provider Identifier
1982445722
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
TNJ WELLNESS LLC
Practice address
1331 H St NW Ste 200
Washington, DC 20005-4706
Phone
(301) 893-4353
Fax
(202) 998-1759
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Tyris Ford, DNPNPI 1871169664
Title
Ceo/Owner
Phone
(317) 590-3722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1331 H St NW Ste 200
Washington, DC 20005-4706

Mailing address

1331 H St NW Ste 200
Washington, DC 20005-4706
Phone (317) 590-3722

National Provider Directory

National Provider Directory
Tax ID family
TNJ Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 Connecticut Ave NW
Ste 450
Washington, DC 20036
Phone (202) 368-0378

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1982445722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 H ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054706",
            "telephone_number": "317-590-3722",
            "fax_number": "202-998-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 H ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054706",
            "telephone_number": "301-893-4353",
            "fax_number": "202-998-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TNJ WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "TYRIS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "317-590-3722",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.