Maa Wellness Center

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

MAA WELLNESS CENTER

Practice address

3146 E Wier Ave RM 19
Phoenix, AZ 85040-2754

Phone

(602) 305-4719

NPI assigned

Jul 10, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Angela Gragg, R.N.

Title

President

Phone

(602) 305-4719

Specialties & licenses 5

Addresses

Electronic endpoints 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pharmacists 4 Humanity

  • Public Health or Welfare Agency
  • Phoenix, AZ
  • NPI 1437774429
  NPPES parent name

Practitioners 1

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

• Benjamin Lewis IV, L.AC

  • Acupuncturist
  • Tempe, AZ
  • NPI 1447811963
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1366094393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 E WIER AVE",
            "address_2": "RM 19",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402754",
            "telephone_number": "602-305-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 E WIER AVE RM 19",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402754",
            "telephone_number": "602-305-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAA WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "GRAGG",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-305-4719",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278G1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.maawc.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "3146 E Wier Ave Rm 19",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850402754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ma Iom, LLC
• Ma Tech Iom, LLC
• Bowen Ma
• Hsin-Yi Ma
• Ly Thien Ma, M.D.
• Daniel Tyler Maas, DO
• Shannon Maaske, OTR/L
• Anas Maatough, MD
• Justin Mabany
• Matthew Benjamin Mabbitt, RN

• Nutrition Education Nutritionist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nutrition Education Nutritionist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.