IVY WELLNESS CARE
NPI 1902522899
Nurse Practitioner in Glenside, PA

Q: What is Ivy Wellness Care LLC's NPI number?

The NPI number for Ivy Wellness Care LLC is 1902522899. It was assigned to this organization in the NPPES registry on October 13, 2022. The provider is doing business as Ivy Wellness Care.

Q: What is Ivy Wellness Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 13, 2022

712 FITZWATERTOWN RD, GLENSIDE, PA 19038(215) 885-1112 Get Directions Write a Review

NPPES record last updated: December 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2022, Oct 13, 2022 (2 updates tracked since 2022).

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About Ivy Wellness Care NPPES

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

IVY WELLNESS CARE (NPI 1902522899) is a healthcare organization registered as a nurse practitioner in Glenside, Pennsylvania and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Glenside and lists Michele Butler, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1902522899

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameIVY WELLNESS CARE LLC

Location Address712 FITZWATERTOWN RDGlenside, PA 19038-1306

Mailing Address712 Fitzwatertown RdGlenside, PA 19038-1306

Phone(215) 885-1112

Organization SubpartNo

Authorized OfficialMichele ButlerNurse Practitioner · (215) 264-8104

Enumeration DateOctober 13, 2022

Last NPPES UpdateDecember 31, 20222 updates tracked since enumeration

NPPES CertifiedDecember 31, 2022

✔ NPI 1902522899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

712 FITZWATERTOWN RD, Glenside, PA 19038

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Other Names 1

Doing Business AsIvy Wellness Care

Secondary Practice Location 1

Location 1712 Fitzwatertown RdGlenside, PA 19038-1306 · Phone (215) 885-1112

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

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

MICHELE BUTLER CRNP

Nurse Practitioner

712 FITZWATERTOWN RD
GLENSIDE, PA 19038

Montgomery County (215) 264-8104

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 Ivy Wellness Care LLC's NPI number?

The NPI number for Ivy Wellness Care LLC is 1902522899. It was assigned to this organization in the NPPES registry on October 13, 2022. The provider is doing business as Ivy Wellness Care.

Where is Ivy Wellness Care LLC located?

Ivy Wellness Care LLC is located at 712 Fitzwatertown Rd, Glenside, PA 19038. The listed phone number is (215) 885-1112.

What is Ivy Wellness Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Ivy Wellness Care LLC was last updated on December 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.