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NPI · 1639836000 · NPPES-sourced

Eternity Wellness 22, LLC

ActivePsychiatric/Mental Health Nurse Practitioner
NPI Number
1639836000
Type 2 · Organisation
Contact
(888) 777-2671
Primary practice line
Last Updated
Enumerated
Primary practice addressMS · 39532-2279
1636 Popps Ferry Rd Ste 234Biloxi, MS 39532-2279
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About this NPIWhat this record shows.

NPI 1639836000 is registered to Eternity Wellness 22, LLC, a healthcare organisation classified as "Psychiatric/Mental Health Nurse Practitioner" and located at 1636 Popps Ferry Rd Ste 234 in Biloxi, Mississippi. The organisation's authorised official is Tawana Raymond. The organisation has been enumerated in the NPI registry since 2021.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Eternity Wellness 22, LLC accepts. To confirm in-network status with your specific health plan, contact Eternity Wellness 22, LLC directly at (888) 777-2671.

Frequently asked

Yes. NPI 1639836000 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Psychiatric/Mental Health Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (888) 777-2671.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Eternity Wellness 22, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363LP0808X
Last updated
Enumerated
StatusActive
Partneri
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