Organization Active NPI

Soal Wellness LLC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1316641970
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SOAL WELLNESS LLC
Practice address
11209 N Tatum Blvd Ste 140
Phoenix, AZ 85028-3024
Phone
(602) 730-4535
Fax
(602) 834-9425
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Dr. Julie Hinman, DNP, FNPCNPI 1982083317
Title
Founder/Nurse Practitioner
Phone
(602) 748-7333

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11209 N Tatum Blvd Ste 140
Phoenix, AZ 85028-3024

Mailing address

930 W Willetta St
Phoenix, AZ 85007-1923
Phone (602) 730-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240403004468 AZ Part B Supplier - Clinic/Group Practice 0345688719 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

2980 E Northern Ave
Phoenix, AZ 85028

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1316641970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850071923",
            "telephone_number": "602-730-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283024",
            "telephone_number": "602-730-4535",
            "fax_number": "602-834-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "HINMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "FOUNDER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "602-748-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNPC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.