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JACOB'S WELL HOLISTIC SERVICES, LLC
NPI 1295336915
Clinic/Center - Primary Care in Kansas City, KS

Active since November 09, 2020
3200 STRONG AVE, KANSAS CITY, KS 66106(913) 262-0550(913) 831-3048 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob's Well Holistic Services, Llc NPPES

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

JACOB'S WELL HOLISTIC SERVICES, LLC (NPI 1295336915) is a healthcare organization registered as a primary care in Kansas City, Kansas and active in the NPI registry since November 2020. The organization lists Renee L. Roosa, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295336915
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJACOB'S WELL HOLISTIC SERVICES, LLC
Location Address3200 STRONG AVEKansas City, KS 66106-2116
Mailing Address2940 Baltimore Ave Apt 1207Kansas City, MO 64108-3418 · (816) 916-5902
Phone(913) 262-0550
Fax(913) 831-3048
Organization SubpartNo
Authorized OfficialRenee L. RoosaCeo · (816) 916-5902
Enumeration DateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
✔ NPI 1295336915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3200 STRONG AVE, Kansas City, KS 66106
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYLA JEAN WILLIAMS FNP
Family Medicine
3200 STRONG AVE
KANSAS CITY, KS 66106
Wyandotte County (913) 262-0550
DR. YOLANDA HUET-VAUGHN M.D.
Family Medicine
3200 STRONG AVE
KANSAS CITY, KS 66106
Wyandotte County (913) 262-0550
LINAH CHELAGAT
Nurse Practitioner (Family)
3200 STRONG AVE
KANSAS CITY, KS 66106
Wyandotte County (913) 262-0550
MRS. MYRA FINIECE LATHROP MS, APRN, BC
Nurse Practitioner
3200 STRONG AVE
KANSAS CITY, KS 66106
Wyandotte County (913) 262-0550
YOLANDA HUET-VAUGHN, M.D., P.A.
Family Medicine
3200 STRONG AVE
KANSAS CITY, KS 66106
Wyandotte County (913) 262-0550
MARY DOREEN GODORNES NP
Nurse Practitioner (Family)
3200 STRONG AVE
KANSAS CITY, KS 66106
Wyandotte County (913) 262-0550
B WELL, INC.
Nurse Practitioner (Family)
3200 STRONG AVE
KANSAS CITY, KS 66106
Wyandotte County (913) 262-0550

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 Jacob's Well Holistic Services, LLC's NPI number?

The NPI number for Jacob's Well Holistic Services, LLC is 1295336915. It was assigned to this organization in the NPPES registry on November 9, 2020.

Where is Jacob's Well Holistic Services, LLC located?

Jacob's Well Holistic Services, LLC is located at 3200 Strong Ave, Kansas City, KS 66106. The listed phone number is (913) 262-0550.

What is Jacob's Well Holistic Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jacob's Well Holistic Services, LLC was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.