Pathway Health & Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PATHWAY HEALTH & WELLNESS LLC

Practice address

1933 W Main St Ste 1
Mesa, AZ 85201-6930

Phone

(480) 283-5330

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Rachel Songmin Carroll, FNP-CNPI 1427764000

Title

Owner

Phone

(480) 283-5330

Specialties & licenses 1

Addresses

Other names 1

• Pathway Health & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

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

• Rachel Songmin Carroll, FNP-C

  • Nurse Practitioner
  • Mesa, AZ
  • NPI 1427764000

  Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1376220368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 S CORRINE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964154",
            "telephone_number": "480-283-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 W MAIN ST STE 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016930",
            "telephone_number": "480-283-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "SONGMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-283-5330",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathway Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pathway Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Viren Patel, PHARMD
• Path of Wellness Healing Arts LLC
• Monika Pathak, PT
• Reena Pathak
• Meera V Pathare, MD
• Pathway to New Beginnings LLC
• Pathways School and Evaluation Center
• Pathways to Peace LLC
• Patient First Assisting LLC
• Patient Transport LLC

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.