Organization Active NPI

Empoweing Minds Body @Wellness Center LLC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1073335956
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EMPOWEING MINDS BODY @WELLNESS CENTER LLC
Doing business as
Empowering Minds Body @ Wellness Center LLC
Practice address
2828 N Central Ave Ste 803
Phoenix, AZ 85004-1021
Phone
(404) 610-1236
Fax
(855) 300-5330
NPI assigned
Oct 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Varonica Freeman
Title
Manager
Phone
(513) 260-9643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2828 N Central Ave Ste 803
Phoenix, AZ 85004-1021

Mailing address

2828 N Central Ave Ste 803
Phoenix, AZ 85004-1021
Phone (404) 610-1236

Other names 1

  • Empowering Minds Body @ Wellness Center LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2828 N Central Ave
Ste 803
Phoenix, AZ 85004
Phone (404) 610-1236

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1073335956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 N CENTRAL AVE STE 803",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041021",
            "telephone_number": "404-610-1236",
            "fax_number": "855-300-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 N CENTRAL AVE STE 803",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041021",
            "telephone_number": "404-610-1236",
            "fax_number": "855-300-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWEING MINDS BODY @WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "VARONICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-260-9643"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowering Minds Body @ Wellness Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.