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HEALTHY BODY LLC
NPI 1508389990
Nurse Practitioner - Gerontology in Fort Wayne, IN

Active since July 18, 2017
2515 LADUE LN, FORT WAYNE, IN 46804(925) 518-6122 Get Directions Write a Review

NPPES record last updated: July 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Healthy Body Llc NPPES

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

HEALTHY BODY LLC (NPI 1508389990) is a healthcare organization registered as a gerontology in Fort Wayne, Indiana and active in the NPI registry since July 2017. The organization lists Mollie Mcdaniel Mowery, Owner, as its authorized official.

NPPES Registry Identity

NPI1508389990
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameHEALTHY BODY LLC
Location Address2515 LADUE LNFort Wayne, IN 46804-2796
Mailing Address7619 W Jefferson BlvdFort Wayne, IN 46804-4133 · (260) 407-8006 · Fax (260) 407-8006
Phone(925) 518-6122
Organization SubpartNo
Authorized OfficialMollie Mcdaniel MoweryOwner · (925) 518-6122
Enumeration DateJuly 18, 2017
✔ NPI 1508389990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IN · 71006194A
2515 LADUE LN, Fort Wayne, IN 46804
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Healthy Body LLC's NPI number?

The NPI number for Healthy Body LLC is 1508389990. It was assigned to this organization in the NPPES registry on July 18, 2017.

Where is Healthy Body LLC located?

Healthy Body LLC is located at 2515 Ladue Ln, Fort Wayne, IN 46804. The listed phone number is (925) 518-6122.

What is Healthy Body LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

What insurance does Healthy Body LLC accept?

Health plans from CareSource list Healthy Body LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthy Body LLC was last updated on July 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.