WELLNESS FOR LIFE (NPI# 1427569367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427569367 |
| Entity Type | Organization |
| Organization Name | WELLNESS FOR LIFE |
| Practice Address |
524 N Fairview St Bloomington IN 47404-3774 |
| Practice Telephone | 8126451892 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |
| Authorized Official Name | ASHLEY LOWE (FINANCE MANAGER) |
| Authorized Official Telephone | 8126451892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235601105 | Wellness for Life | Clinic/Center | 3000 S 9th St Ste B, Lafayette, IN 47909-6702 | 2018-12-17 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1174092688 | Wellness for Life | Clinic/Center | 2315 Allison Ln, Jeffersonville, IN 47130-5818 | 2018-11-14 |
| 1548743552 | Wellness for Life | Clinic/Center | 6448 W Ohio St, Indianapolis, IN 46214-3973 | 2018-09-14 |
| 1598270746 | Wellness for Life | Clinic/Center | 1749 State Road 46, Nashville, IN 47448 | 2017-12-11 |
| 1770098014 | Wellness for Life | Clinic/Center | 411 S 5th St, Chesterton, IN 46304-2201 | 2017-12-08 |
| 1043763451 | Wellness for Life | Clinic/Center | 3720 Hornaday Rd, Brownsburg, IN 46112-1958 | 2016-08-02 |
| 1073066866 | Wellness for Life | Clinic/Center | 8688 Broadway, Merrillville, IN 46410-7034 | 2016-07-27 |
| 1225581010 | Wellness for Life | Clinic/Center | 709 Stafford Rd, Plainfield, IN 46168-2269 | 2016-07-27 |
| 1548713332 | Wellness for Life | Clinic/Center | 630 Broadway St Ste 2a, Madison, IN 47250-3310 | 2016-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | WELLNESS FOR LIFE | Sheldon, VT |
| Colorado Business Entities | Wellness For Life Colorado, Inc. | 44 Cook St., Suite 100, Denver, CO 80907 |
| Washington State Corporations | WELLNESS FOR LIFE LLC | 45827 Se 137th St, North Bend, WA 98045-8863 |
| Washington State Corporations | WELLNESS FOR LIFE PLLP | 3115 T Ave, Anacortes, WA 98221-3472 |
| Colorado Business Entities | Wellness for Life, LLC | 12143 Dahlia Drive, Thornton, CO 80241 |
| New York State Corporations | WELLNESS FOR LIFE, LLC | 986 Grant Street, Buffalo, New York 14207 |
| Massachusetts Corporations | WELLNESS FOR LIFE, LLC | 113 Fisher Rd., Barre, MA 01005 |
| Street Address |
524 N FAIRVIEW ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306147236 | Community Health Network | Family Medicine | 524 N Fairview St, Bloomington, IN 47404-3774 | 2010-11-09 |
| 1437633419 | Dana Louise Walden | Family Medicine | 524 N Fairview St, Bloomington, IN 47404-3774 | 2018-09-17 |
| 1639416167 | Community Health Network Inc | Family Medicine | 524 N Fairview St, Bloomington, IN 47404-3774 | 2013-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031118 | Clover Creek Medical | Clinic/Center | 175 North Main Street, Bloomington, ID 83223-8322 | 2017-09-08 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1063489805 | Healthspot | Clinic/Center | 3064 E 3rd St, Bloomington, IN 47401-5425 | 2006-03-01 |
| 1811385925 | Activate Healthcare - Monroe Clinic | Clinic/Center | 119 W 7th St, Bloomington, IN 47404-3926 | 2014-12-26 |
| 1285060947 | Kellie Lyn Dunkin | Clinic/Center | 451 S Park Ridge Rd, Suite 101, Bloomington, IN 47401-8589 | 2013-09-25 |
| 1295005445 | Chestnut Health System, Inc | Clinic/Center | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2012-01-05 |
| 1669752960 | Immanuel Health Center | Clinic/Center | 502 S Morris Ave, Suite A, Bloomington, IL 61701-4884 | 2011-08-18 |
| 1174706816 | Central Illinois Pediatric Associates LLC | Clinic/Center | 2427 Maloney Dr, Bloomington, IL 61704-3750 | 2007-12-17 |
| 1265614242 | Advacare Clinics,ltd | Clinic/Center | 5001 American Blvd W, Ste.945, Bloomington, MN 55437-1108 | 2007-11-30 |
| 1528108941 | Cook Family Health Center | Clinic/Center | 402 N Rogers St, Bloomington, IN 47404-3740 | 2007-02-07 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on WELLNESS FOR LIFE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.