Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

VICTRESS HEALTH AND WELLNESS LLC
NPI 1447166855
Clinic/Center - Primary Care in Wapakoneta, OH

Active since August 24, 2026CLIA 36D2245910 · Waiver
5 N BLACKHOOF ST, WAPAKONETA, OH 45895(937) 557-5657(513) 230-2024 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Victress Health And Wellness Llc NPPES

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

VICTRESS HEALTH AND WELLNESS LLC (NPI 1447166855) is a healthcare organization registered as a primary care in Wapakoneta, Ohio and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through December 16, 2027 and lists Erin E Hazelbaker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447166855
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVICTRESS HEALTH AND WELLNESS LLC
Location Address5 N BLACKHOOF STWapakoneta, OH 45895-1432
Mailing Address5 N Blackhoof StWapakoneta, OH 45895-1432 · (937) 557-5657 · Fax (513) 230-2024
Fax(513) 230-2024
Organization SubpartYes
Authorized OfficialErin E HazelbakerCeo · (937) 557-5657
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
✔ NPI 1447166855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5 N BLACKHOOF ST, Wapakoneta, OH 45895

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2245910

Victress Health And Wellness · Sidney, OH
Active · expires Dec 16, 2027
CLIA Number36D2245910
Laboratory TypePractitioner Other
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorBruce Suchland
Laboratory Phone(937) 557-5657
Laboratory LocationVictress Health And Wellness804 West Russell Road, Sidney, OH 45365
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
5 N BLACKHOOF ST
WAPAKONETA, OH 45895

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 Victress Health And Wellness LLC's NPI number?

The NPI number for Victress Health And Wellness LLC is 1447166855. It was assigned to this organization in the NPPES registry on August 24, 2026.

Where is Victress Health And Wellness LLC located?

Victress Health And Wellness LLC is located at 5 N Blackhoof St, Wapakoneta, OH 45895. The listed phone number is (937) 557-5657.

What is Victress Health And Wellness LLC's specialty?

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

Does Victress Health And Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2245910) is associated with this NPI, valid through December 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Victress Health And Wellness LLC was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.