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BODHI WELLNESS LLC
NPI 1285426718
Nurse Practitioner in La Break, VA

Active since May 20, 2025
1832 KENPSVILLE RD STE 112, LA BREAK, VA 23116(757) 239-5858 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bodhi Wellness Llc NPPES

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

BODHI WELLNESS LLC (NPI 1285426718) is a healthcare organization registered as a nurse practitioner in La Break, Virginia and active in the NPI registry since May 2025. The organization lists Shannon Coulson, Owner, as its authorized official.

NPPES Registry Identity

NPI1285426718
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameBODHI WELLNESS LLC
Location Address1832 KENPSVILLE RD STE 112La Break, VA 23116
Mailing Address1832 Kenpsville Rd Ste 112La Break, VA 23116 · (757) 239-5858
Phone(757) 239-5858
Organization SubpartNo
Authorized OfficialShannon CoulsonOwner · (757) 239-5858
Enumeration DateMay 20, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1285426718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1832 KENPSVILLE RD STE 112, La Break, VA 23116
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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 Bodhi Wellness LLC's NPI number?

The NPI number for Bodhi Wellness LLC is 1285426718. It was assigned to this organization in the NPPES registry on May 20, 2025.

Where is Bodhi Wellness LLC located?

Bodhi Wellness LLC is located at 1832 Kenpsville Rd Ste 112, La Break, VA 23116. The listed phone number is (757) 239-5858.

What is Bodhi Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Bodhi Wellness LLC was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.