Organization Active NPI

Whole Person Well Care, PLLC

  • Primary Care Clinic/Center
  • Kent, WA
National Provider Identifier
1063224368
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WHOLE PERSON WELL CARE, PLLC
Practice address
12906 SE 201St St
Kent, WA 98031-1704
Phone
(203) 218-2225
Fax
(253) 248-6132
NPI assigned
Jan 23, 2025
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Caylin Cheney, ARNPNPI 1801370697
Title
Ceo/Owner
Phone
(203) 218-2225

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

12906 SE 201St St
Kent, WA 98031-1704

Mailing address

12906 SE 201St St
Kent, WA 98031-1704
Phone (203) 218-2225

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1063224368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12906 SE 201ST ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980311704",
            "telephone_number": "203-218-2225",
            "fax_number": "253-248-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12906 SE 201ST ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980311704",
            "telephone_number": "203-218-2225",
            "fax_number": "253-248-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE PERSON WELL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "CHENEY",
        "authorized_official_first_name": "CAYLIN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "203-218-2225",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.