NPIMap

Organization Active NPI

Wingfoot Wellness & Hormones LLC

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1013539568
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WINGFOOT WELLNESS & HORMONES LLC
Practice address
2500 S Power Road
Building 7 Suite 218
Mesa, AZ 85209
Phone
(480) 590-6691
Fax
(480) 393-8442
NPI assigned
May 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Michelle Amado, FNP-CNPI 1275069569
Title
Member/Owner/FNP
Phone
(480) 590-6691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2500 S Power Road
Building 7 Suite 218
Mesa, AZ 85209

Mailing address

2500 S Power Road
Building 7 Suite 218
Mesa, AZ 85209
Phone (480) 590-6691

National Provider Directory

National Provider Directory

Locations

2500 S Power Rd
Ste 218
Mesa, AZ 85209
Phone (480) 590-6691

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1013539568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S POWER ROAD",
            "address_2": "BUILDING 7 SUITE 218",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "480-590-6691",
            "fax_number": "480-393-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S POWER ROAD",
            "address_2": "BUILDING 7 SUITE 218",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "480-590-6691",
            "fax_number": "480-393-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGFOOT WELLNESS & HORMONES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "AMADO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MEMBER/OWNER/FNP",
        "authorized_official_telephone_number": "480-590-6691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.