Active NPI
Own Your Path Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Goodyear, AZ
National Provider Identifier
1043061187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- OWN YOUR PATH WELLNESS LLC
- Practice address
- 1650 N Dysart Rd Ste 3
Goodyear, AZ 85395-1116 - Phone
- (623) 256-2136
- NPI assigned
- Mar 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Paris Christa Mandy, NP
- Title
- Owner
- Phone
- (623) 256-2136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1650 N Dysart Rd Ste 3
Goodyear, AZ 85395-1116
Mailing address
12350 W Camelback Rd Unit 70
Litchfield Park, AZ 85340-5634
Phone (623) 256-2136
National Provider Directory
National Provider DirectoryLocations
1650 N Dysart Rd
Ste 3
Goodyear, AZ 85395
Phone (623) 256-2136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723161600000",
"number": "1043061187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12350 W CAMELBACK RD UNIT 70",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853405634",
"telephone_number": "623-256-2136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 N DYSART RD STE 3",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951116",
"telephone_number": "623-256-2136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OWN YOUR PATH WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-28",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A",
"authorized_official_last_name": "MANDY",
"authorized_official_first_name": "PARIS",
"authorized_official_middle_name": "CHRISTA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-256-2136",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.