NPIMap

Organization Active NPI

Whole Body Wellness

  • Specialist
  • Santa Fe, NM
National Provider Identifier
1043680028
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5906 Issued in NM
Legal business name
WHOLE BODY WELLNESS
Practice address
460 Saint Michaels Dr
Suite 601
Santa Fe, NM 87505-7619
Phone
(505) 660-9110
NPI assigned
Oct 2, 2015
Last updated
Dec 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Jennifer Fowler, LMT,CMTNPI 1013296912
Title
Medical Massage Therapist
Phone
(505) 660-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 5906 NM Primary

Addresses

Primary practice location

460 Saint Michaels Dr
Suite 601
Santa Fe, NM 87505-7619

Mailing address

2 Avenida de Compadres
Santa Fe, NM 87508-8713
Phone (505) 660-9110

National Provider Directory

National Provider Directory

Locations

460 Saint Michaels Dr
Ste 601
Santa Fe, NM 87505
Phone (505) 660-9110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1043680028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AVENIDA DE COMPADRES",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088713",
            "telephone_number": "505-660-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR",
            "address_2": "SUITE 601",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057619",
            "telephone_number": "505-660-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEDICAL MASSAGE THERAPIST",
        "authorized_official_telephone_number": "505-660-9110",
        "authorized_official_credential": "LMT,CMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "5906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.