LIVING WELL INTEGRATIVE CHRISTIAN WOMENS HEALTHCARE PLLC
NPI 1548149933
Nurse Practitioner - Women's Health in Bloomington, IL

Q: What is Living Well Integrative Christian Womens Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since August 29, 2025CLIA 14D2336394 · Waiver

2501 E COLLEGE AVE STE C, BLOOMINGTON, IL 61704(309) 336-4743(309) 425-8529 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 12, 2026, Sep 19, 2025 (2 updates tracked since 2025).

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About Living Well Integrative Christian Womens Healthcare Pllc NPPES

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

LIVING WELL INTEGRATIVE CHRISTIAN WOMENS HEALTHCARE PLLC (NPI 1548149933) is a healthcare organization registered as a women's health in Bloomington, Illinois and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Angela T Klein, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1548149933

Entity TypeOrganization

Primary Taxonomy363LW0102X

Legal Business NameLIVING WELL INTEGRATIVE CHRISTIAN WOMENS HEALTHCARE PLLC

Location Address2501 E COLLEGE AVE STE CBloomington, IL 61704-2484

Mailing Address2501 E College Ave Ste CBloomington, IL 61704-2484 · (815) 246-2208 · Fax (309) 326-4550

Phone(309) 336-4743

Fax(309) 425-8529

Organization SubpartNo

Authorized OfficialAngela T KleinSole Member · (815) 246-2208

Enumeration DateAugust 29, 2025

Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1548149933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

2501 E COLLEGE AVE STE C, Bloomington, IL 61704

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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

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 14D2336394

Living Well Integrative Christian Womens Healthcare PLLC · Bloomington, IL

Active · expires Jan 1, 2028

CLIA Number14D2336394

Laboratory TypePractitioner Other

Certificate Effective DateJanuary 2, 2026

Certificate Expiration DateJanuary 1, 2028

Laboratory DirectorAngela T. Klein

Laboratory Phone(309) 336-4743

Laboratory LocationLiving Well Integrative Christian Womens Healthcare PLLC2501 E College Ave - Unit C, Bloomington, IL 61704

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

CENTRAL ILLINOIS CENTER FOR WELLNESS, LLC

Clinic/Center (Primary Care)