Wholistic Wellness of the West LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WHOLISTIC WELLNESS OF THE WEST LLC

Practice address

1755 Coburg Rd Unit 401
Eugene, OR 97401-4984

Phone

(541) 255-3905

Fax

(541) 255-3959

NPI assigned

Feb 15, 2023

Organization subpart

No

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

Authorized official

Name

Kimberlee Warner

Title

Admin

Phone

(541) 255-3905

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Jean Reynolds, ANP ACNP

  • Adult Health Nurse Practitioner
  • Eugene, OR
  • NPI 1821162728
  Medicare reassignment NPD

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1093413452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD UNIT 401",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014984",
            "telephone_number": "541-255-3905",
            "fax_number": "541-255-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD UNIT 401",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014984",
            "telephone_number": "541-255-3905",
            "fax_number": "541-255-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC WELLNESS OF THE WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "541-255-3905"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137345",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Wade Whittington, PTA
• Brandi R Whittle
• Whole Body Healing, LLC
• Whole Health Center LLC
• Whole Self Psychotherapy LLC
• Pamela Laine Wible, MD
• Lee Anne Wichmann, LMFT
• Ilana Widders, R.PH.
• Karen Marie Widmer, RN
• Allison J Wieck, RN

• Family Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.