NPIMap

Organization Active NPI

Wholehealth Medical and Wellness

  • Family Medicine Physician
  • Provo, UT
National Provider Identifier
1356728877
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHOLEHEALTH MEDICAL AND WELLNESS
Practice address
524 W 300 N
Suite 203
Provo, UT 84601-2667
Phone
(801) 607-5270
Fax
(801) 607-5271
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Sharlene Watson
Title
Admin
Phone
(801) 607-5270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

524 W 300 N
Suite 203
Provo, UT 84601-2667

Mailing address

524 W 300 N
Suite 203
Provo, UT 84601-2667
Phone (801) 607-5270

National Provider Directory

National Provider Directory

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": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1356728877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W 300 N",
            "address_2": "SUITE 203",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012667",
            "telephone_number": "801-607-5270",
            "fax_number": "801-607-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W 300 N",
            "address_2": "SUITE 203",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012667",
            "telephone_number": "801-607-5270",
            "fax_number": "801-607-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEHEALTH MEDICAL AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "801-607-5270"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.