Active NPI
Aa Warrior Holistic Wellness Practice LLC
- Primary Care Nurse Practitioner
- Bolingbrook, IL
National Provider Identifier
1265308936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- AA WARRIOR HOLISTIC WELLNESS PRACTICE LLC
- Practice address
- 149 Lilac St
Bolingbrook, IL 60490-2022 - Phone
- (910) 676-2227
- NPI assigned
- Oct 10, 2025
- Last updated
- Oct 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alysa Angel, DNP,APRN,
- Title
- Nurse Practitioner
- Phone
- (910) 676-2227
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary | ||
| Women's Health Nurse Practitioner | 363LW0102X | |||
| Military Health Care Provider | 171000000X |
Addresses
Primary practice location
149 Lilac St
Bolingbrook, IL 60490-2022
Mailing address
PO Box 27
Bolingbrook, IL 60440-1087
Phone (910) 676-2227
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Bolingbrook, IL
- NPI 1780156281
Military Health Care Provider
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760054400000",
"number": "1265308936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401087",
"telephone_number": "910-676-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 LILAC ST",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604902022",
"telephone_number": "910-676-2227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AA WARRIOR HOLISTIC WELLNESS PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-10",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A",
"authorized_official_last_name": "ANGEL",
"authorized_official_first_name": "ALYSA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "910-676-2227",
"authorized_official_credential": "DNP,APRN,"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.