1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Nurse Practitioner
  6. NPI Profile

LIFESTYLE WELLNESS ENTERPRISE, PLLC
NPI 1568772952
Nurse Practitioner - Women's Health in Bronx, NY

Active since October 19, 2010
140 DARROW PL, SUITE 16B, BRONX, NY 10475(718) 379-1290(718) 379-8597 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifestyle Wellness Enterprise, Pllc NPPES

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

LIFESTYLE WELLNESS ENTERPRISE, PLLC (NPI 1568772952) is a healthcare organization registered as a women's health in Bronx, New York and active in the NPI registry since October 2010. The organization lists Johnetta Miner, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1568772952
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameNURSE PRACTITIONER WOMEN'S HEALTH, PLLC
Location Address140 DARROW PL, SUITE 16BBronx, NY 10475-1802
Mailing Address140 Darrow Pl, Suite 16bBronx, NY 10475-1802 · (718) 379-1290 · Fax (718) 379-8597
Phone(718) 379-1290
Fax(718) 379-8597
Organization SubpartNo
Authorized OfficialJohnetta MinerCeo/president · 17183791290
Enumeration DateOctober 19, 2010
✔ NPI 1568772952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NY · F420329-1
140 DARROW PL, Bronx, NY 10475
Open in Google Maps ↗

Other Names 1

Other NameLifestyle Wellness Enterprise, Pllc

Other Identifiers 1

Medicare UPINS87741NY

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

Other Providers at the Same Location NPPES 13

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

JACQUELINE M SHEPPARD
Licensed Practical Nurse
140 DARROW PL, 6 A
BRONX, NY 10475
Bronx County (718) 974-2819
MIYETTA THOMPKINS
Occupational Therapy Assistant
140 DARROW PL
BRONX, NY 10475
Bronx County (917) 504-3007
MS. DESIREE GOWINS MS.ED
Developmental Therapist
140 DARROW PL, #7E
BRONX, NY 10475
Bronx County (646) 246-7900
PLAY AND GROW PHYSICAL THERAPY AND SPEECH LANGUAGE PATHOLOGY PLLC
Early Intervention Provider Agency
140 DARROW PL, SUITE 24E
BRONX, NY 10475
Bronx County (917) 837-9711
MS. JOHNETTA MINER NP
Nurse Practitioner (Women's Health)
140 DARROW PL, SUITE 16B
BRONX, NY 10475
Bronx County (718) 379-1290
DEBORAH REGINA THOMAS
Social Worker
140 DARROW PL
BRONX, NY 10475
Bronx County (917) 328-3439
BARBARA HEMPHILL
Specialist
140 DARROW PL, APT# 13G
BRONX, NY 10475
Bronx County (646) 242-5559
BUILDING BLOCKS FOR TOMORROW INC.
Early Intervention Provider Agency
140 DARROW PL, #7E
BRONX, NY 10475
Bronx County (646) 246-7900

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 Nurse Practitioner Women's Health, PLLC's NPI number?

The NPI number for Nurse Practitioner Women's Health, PLLC is 1568772952. It was assigned to this organization in the NPPES registry on October 19, 2010. The provider is also known as Lifestyle Wellness Enterprise, PLLC.

Where is Nurse Practitioner Women's Health, PLLC located?

Nurse Practitioner Women's Health, PLLC is located at 140 Darrow Pl Suite 16B, Bronx, NY 10475. The listed phone number is (718) 379-1290.

What is Nurse Practitioner Women's Health, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nurse Practitioner Women's Health, PLLC was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.