EASTSIDE HEALTH & WELLNESS
NPI 1316662901
Nurse Practitioner - Family in Raytown, MO
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 26D2271938
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 05-10-2027
About EASTSIDE HEALTH & WELLNESS
This page provides the complete NPI Profile along with additional information for Eastside Health & Wellness, a provider established in Raytown, Missouri operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1316662901 assigned on October 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Eastside Health & Wellness. The authorized official of this NPI record is Nicole Hamilton Fnp (Owner)
- NPI
- 1316662901 Verify this NPI
- Provider Legal Name
- NDH MEDICARE RISK ASSESSMENT LLC
- Other Organization Name
- EASTSIDE HEALTH & WELLNESS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8801 E 63RD ST STE 102 RAYTOWN, MO 64133
- Location Phone
- (816) 255-0837
- Mailing Address
- 303 NW CENTRAL ST LEES SUMMIT, MO 64063
- Mailing Phone
- (816) 255-0837
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-06-2022
- Last Update Date
- 12-04-2024
- Code Navigator
A nurse practitioner (NP) like Eastside Health & Wellness is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2271938
- Facility Type
- Practitioner Other
- Certificate Effective Date
- May 11, 2025
- Certificate Expiration Date
- May 10, 2027
- Laboratory Director
- NICOLE HAMILTON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Eastside Health & Wellness in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316662901, enumerated as an "organization" on October 06, 2022.
The provider is located at 8801 E 63RD ST STE 102 RAYTOWN, MO 64133 and the phone number is (816) 255-0837.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
