Wholeness Health, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WHOLENESS HEALTH, LLC

Practice address

2620 E Prospect Rd Ste 190
Fort Collins, CO 80525-9098

Phone

(970) 221-1106

Fax

(970) 232-1050

NPI assigned

May 21, 2020

Organization subpart

Yes

Parent organization

WHOLENESS HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Scott Shannon, MDNPI 1205843596

Title

Partner

Phone

(970) 224-9458

Specialties & licenses 3

Addresses

Other names 1

• Wholeness Center Doing business as

Part of

Wholeness Health LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wholeness Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Collins, CO
  • NPI 1245867449
  NPPES parent name

Practitioners 1

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

• Scott Shannon, MD

  • Child & Adolescent Psychiatry Physician
  • Fort Collins, CO
  • NPI 1205843596
  NPD Authorized official

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1265055461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 E PROSPECT RD STE 190",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259098",
            "telephone_number": "970-221-1106",
            "fax_number": "970-232-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 E PROSPECT RD STE 190",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259098",
            "telephone_number": "970-221-1106",
            "fax_number": "970-232-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLENESS HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHOLENESS HEALTH, LLC",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "970-224-9458",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wholeness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard R Whittlesey, PH.D.
• Whole Moon Healing LLC
• Wholehearted Healing, LLC
• Wholeness Center, P.C.
• Wholeness Health, LLC
• Wholeness Medical Services LLC
• Wiarda Optometry, PLLC
• Noah Cole Wiarda, O.D.
• Kathryn Wick, PA-C
• Trevor Wicken

• Family Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.