Phoenix Health & Wellness PLLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PHOENIX HEALTH & WELLNESS PLLC

Practice address

5920 N Bridget St
Spokane, WA 99208-7062

Phone

(509) 581-3550

Fax

(509) 232-3309

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer A Carlson, DNP, FNP-CNPI 1407349871

Title

Owner, Practitioner

Phone

(509) 581-3550

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25977/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Jennifer A Carlson, DNP, FNP-C

  • Nurse Practitioner
  • Spokane, WA
  • NPI 1407349871
  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1245989292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W FRANCIS AVE # 502",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056512",
            "telephone_number": "509-581-3550",
            "fax_number": "509-232-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 N BRIDGET ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087062",
            "telephone_number": "509-581-3550",
            "fax_number": "509-232-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, PRACTITIONER",
        "authorized_official_telephone_number": "509-581-3550",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Maria Phillips, MSW
• William Hugh Phillips, MD
• Marie Joy Phillipson, SUDP,SUDA,NCAC1
• Gerald S Phipps, D.M.D., M.S.
• Kelly Lynn Phipps, MA
• Phoenix Health & Wellness PLLC
• Physical Medicine and Rehabilitation Northwest, PLLC
• Physical Therapy Associates
• Physical Therapy Associates PS
• Physician Anesthesia Group PS

• Exclusive Provider Organization in Spokane, WA
• Providers in Spokane, WA by specialty
• Exclusive Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.