Organization Active NPI

Willow Wood Wellness Clinic Inc.

  • Reflexologist
  • Boone, IA
National Provider Identifier
1215373469
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
Legal business name
WILLOW WOOD WELLNESS CLINIC INC.
Practice address
928 7TH St
Boone, IA 50036-2955
Phone
(515) 432-1228
Fax
(515) 432-1239
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Gina Lynn Johnson
Title
Director
Phone
(515) 432-1228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ReflexologistGroup: 193200000X MULTI-SPECIALTY GROUP 173C00000X Primary

Addresses

Primary practice location

928 7TH St
Boone, IA 50036-2955

Mailing address

928 7TH St
Boone, IA 50036-2955
Phone (515) 432-1228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1215373469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 7TH ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500362955",
            "telephone_number": "515-432-1228",
            "fax_number": "515-432-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 7TH ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500362955",
            "telephone_number": "515-432-1228",
            "fax_number": "515-432-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW WOOD WELLNESS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "515-432-1228"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.