Wellness for Life Family Practice

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

WELLNESS FOR LIFE FAMILY PRACTICE

Practice address

20449 N Lake Pleasant Rd Ste 101
Peoria, AZ 85382-2707

Phone

(623) 322-0099

Fax

(866) 228-5038

NPI assigned

Sep 6, 2019

Last updated

Sep 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonia Lanette Graham, FNP-BCNPI 1699108621

Title

Owner/Nurse Practitioner

Phone

(623) 322-0099

Specialties & licenses 1

Addresses

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.

• Tonia Lanette Graham, FNP

  • Primary Care Nurse Practitioner
  • Peoria, AZ
  • NPI 1699108621
  NPD Authorized official

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1083263503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20449 N LAKE PLEASANT RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822707",
            "telephone_number": "623-322-0099",
            "fax_number": "866-228-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20449 N LAKE PLEASANT RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822707",
            "telephone_number": "623-322-0099",
            "fax_number": "866-228-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FOR LIFE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "LANETTE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "623-322-0099",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weight Loss MD (MD Weight Loss)
• Olivia Weintraub-Farr, MS, LAC
• Zachary Weisenberger, PT, DPT
• Wayne A Weissinger, NPC
• Mark William Wellman, OD
• Wellness Today Medical Clinic, Inc.
• Janeen Lealice Wells, LPC
• Kiersten Wells, LCSW
• Elizabeth Ann Wennerstrom, PA
• Amija Wento

• Primary Care Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.