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ENHANCED WELLNESS, PLLC
NPI 1811098866
Clinic/Center in Jackson, MS

Active since September 25, 2006CLIA 25D1060992 · Waiver
1855 LAKELAND DRIVE, STE M20, JACKSON, MS 39216(601) 364-1132(601) 364-1134 Get Directions Write a Review

NPPES record last updated: October 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Enhanced Wellness, Pllc NPPES

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

ENHANCED WELLNESS, PLLC (NPI 1811098866) is a healthcare organization registered as a clinic/center in Jackson, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 6, 2026 and lists Katherine Felice Blanco, Clinic Admin, as its authorized official.

NPPES Registry Identity

NPI1811098866
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameENHANCED WELLNESS, PLLC
Location Address1855 LAKELAND DRIVE, STE M20Jackson, MS 39216
Mailing Address1855 Lakeland Drive, Ste M20Jackson, MS 39216 · (601) 364-1132 · Fax (601) 364-1134
Phone(601) 364-1132
Fax(601) 364-1134
Organization SubpartNo
Authorized OfficialKatherine Felice BlancoClinic Admin · (601) 364-1132
Enumeration DateSeptember 25, 2006
Last NPPES UpdateOctober 7, 2013
✔ NPI 1811098866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1855 LAKELAND DRIVE, Jackson, MS 39216
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Other Identifiers 1

Medicare PINC03582MS

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 25D1060992

Enhanced Wellness Living PLLC · Ridgeland, MS
Active · expires Nov 6, 2026
CLIA Number25D1060992
Laboratory TypePractitioner Other
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorKelly B. Engelmann
Laboratory Phone(601) 364-1132
Laboratory LocationEnhanced Wellness Living PLLC115 W Jackson Street, Suite 1E, Ridgeland, MS 39157
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 2

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

PORTABLE MEDICAL DIAGNOSTICS
Radiology (Diagnostic Radiology)
1855 LAKELAND DRIVE, SUITE G10
JACKSON, MS 39216
Hinds County (601) 987-9425
OB SOLUTION LLC
Home Infusion
1855 LAKELAND DRIVE, STE M10
JACKSON, MS 39216
Hinds County (601) 829-4730

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 Enhanced Wellness, PLLC's NPI number?

The NPI number for Enhanced Wellness, PLLC is 1811098866. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Enhanced Wellness, PLLC located?

Enhanced Wellness, PLLC is located at 1855 Lakeland Drive Ste M20, Jackson, MS 39216. The listed phone number is (601) 364-1132.

What is Enhanced Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Enhanced Wellness, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1060992) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Enhanced Wellness, PLLC was last updated on October 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.