Body Wellness Institute LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BODY WELLNESS INSTITUTE LLC

Practice address

625 W Southern Ave Ste E
Mesa, AZ 85210-5018

Phone

(602) 842-5533

NPI assigned

Nov 26, 2021

Organization subpart

No

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

Authorized official

Name

Alicia Newsome, DCNPI 1306283767

Title

Owner

Phone

(602) 842-5533

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.

• Alicia Newsome, DC

  • Chiropractor
  • Mesa, AZ
  • NPI 1306283767
  NPD Authorized official

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1154088045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W SOUTHERN AVE STE E",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105018",
            "telephone_number": "602-842-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W SOUTHERN AVE STE E",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105018",
            "telephone_number": "602-842-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY WELLNESS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-842-5533",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dheeraj Kumar Bobba, MD
• Richard Bocardo, LPC
• Kurt M Bockoven, FNP
• Jessica Lynn Bodea, M.D.
• John James Bodine, PT, OCS
• Tammy Boe-Kipp
• Delaney Marie Boehlert
• Cheryl Boehmer, M.N.S. CCC-SLP
• Nicole Lorraine Boers, FNP-C
• David E. Boesch, M.D.

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.