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12 STEPS WELLNESS LIVING
NPI 1225610603
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since April 25, 2021
4522 CLARENDON RD, BROOKLYN, NY 11203(347) 210-5064 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Apr 25, 2021 (2 updates tracked since 2021).

About 12 Steps Wellness Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

12 STEPS WELLNESS LIVING (NPI 1225610603) is a healthcare organization registered as an adult health in Brooklyn, New York and active in the NPI registry since April 2021. The organization lists Kimesha Clarke, Np, as its authorized official.

NPPES Registry Identity

NPI1225610603
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business Name12 STEPS WELLNESS LIVING
Location Address4522 CLARENDON RDBrooklyn, NY 11203-5218
Mailing Address4522 Clarendon RdBrooklyn, NY 11203-5218 · (347) 210-5064
Phone(347) 210-5064
Organization SubpartNo
Authorized OfficialKimesha ClarkeNp · (347) 210-5064
Enumeration DateApril 25, 2021
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2021
✔ NPI 1225610603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
4522 CLARENDON RD, Brooklyn, NY 11203
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 12 Steps Wellness Living's NPI number?

The NPI number for 12 Steps Wellness Living is 1225610603. It was assigned to this organization in the NPPES registry on April 25, 2021.

Where is 12 Steps Wellness Living located?

12 Steps Wellness Living is located at 4522 Clarendon Rd, Brooklyn, NY 11203. The listed phone number is (347) 210-5064.

What is 12 Steps Wellness Living's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for 12 Steps Wellness Living was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.