Active NPI
Wellness Rewired LLC
- Psychiatric/Mental Health Nurse Practitioner
- Saratoga Springs, NY
National Provider Identifier
1992563415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WELLNESS REWIRED LLC
- Practice address
- 12 Tiffany PL
Saratoga Springs, NY 12866-9006 - Phone
- (267) 257-6451
- NPI assigned
- Mar 11, 2024
- 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
- Krista Planko, RN
- Title
- Owner
- Phone
- (267) 257-6451
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
12 Tiffany PL
Saratoga Springs, NY 12866-9006
Mailing address
12 Tiffany PL
Saratoga Springs, NY 12866-9006
Phone (267) 257-6451
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Registered Nurse
- Schenectady, NY
- NPI 1316718885
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1992563415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 TIFFANY PL",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128669006",
"telephone_number": "267-257-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 TIFFANY PL",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128669006",
"telephone_number": "267-257-6451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS REWIRED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "PLANKO",
"authorized_official_first_name": "KRISTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-257-6451",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.