Organization Active NPI

Ivy Wellness Services, LLC

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1366029795
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
IVY WELLNESS SERVICES, LLC
Practice address
512 E Southern Ave Ste B
Tempe, AZ 85282-5209
Phone
(216) 659-8989
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Sheilkeela Howard-Gurley, FNP-BCNPI 1023254471
Title
Owner/Practitioner
Phone
(216) 659-8989

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: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

512 E Southern Ave Ste B
Tempe, AZ 85282-5209

Mailing address

512 E Southern Ave Ste B
Tempe, AZ 85282-5209
Phone (216) 659-8989

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1366029795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E SOUTHERN AVE STE B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825209",
            "telephone_number": "216-659-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E SOUTHERN AVE STE B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825209",
            "telephone_number": "216-659-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "HOWARD-GURLEY",
        "authorized_official_first_name": "SHEILKEELA",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "216-659-8989",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.