Western Skies Wellness Center, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WESTERN SKIES WELLNESS CENTER, LLC

Practice address

1807 Cove Ave
La Grande, OR 97850-3516

Phone

(541) 663-9008

Fax

(541) 624-5454

NPI assigned

Aug 1, 2022

Organization subpart

No

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

Authorized official

Name

Leon Ross Aylett, AGPCNPNPI 1467917187

Title

Nurse Practitioner

Phone

(541) 663-9008

Specialties & licenses 1

Addresses

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 2

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

• Leon Ross Aylett III, AGPCNP

  • Nurse Practitioner
  • Council, ID
  • NPI 1467917187

  OR

  Medicare reassignment NPD Authorized official
• Linda Maureen Chernoff

  • Primary Care Nurse Practitioner
  • La Grande, OR
  • NPI 1023909959
  Medicare reassignment NPD

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1124754155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 COVE AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503516",
            "telephone_number": "541-663-9008",
            "fax_number": "541-624-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 COVE AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503516",
            "telephone_number": "541-663-9008",
            "fax_number": "541-624-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SKIES WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "AYLETT",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "541-663-9008",
        "authorized_official_credential": "AGPCNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Welberg
• Nichole Elaine Welch, MSN, APRN, FNP-BC
• Lara Welford
• Andrea Wernofsky
• Olivia A Westenskow
• Jefferson K Whinery, PT
• Douglas Whipple, CADC I
• Emily Whitesides
• Lewis W Whiting
• Gus Whittington

• Primary Care Clinic/Center in La Grande, OR
• Providers in La Grande, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.