Healthy Wings LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

L20603825 Issued in AZ

Legal business name

HEALTHY WINGS LLC

Practice address

2055 E Southern Ave Ste B
Tempe, AZ 85282-7507

Phone

(520) 477-1815

Fax

(949) 543-2787

NPI assigned

Mar 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Ann Muhammad, DNP, FNP, PMHNPNPI 1225496060

Title

FNP, Pmhnp, & Practice Director

Phone

(520) 477-1815

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jennifer Ann Muhammad, DNP, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1225496060
  Medicare reassignment Authorized official
• Reynaldo Guerrero

  • Counselor
  • Phoenix, AZ
  • NPI 1548721285
  NPD (past)

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694908800000",
    "number": "1376905786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTHERN AVE STE B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827507",
            "telephone_number": "520-477-1815",
            "fax_number": "949-543-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTHERN AVE STE B",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827507",
            "telephone_number": "520-477-1815",
            "fax_number": "949-543-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY WINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FNP, PMHNP, & PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "520-477-1815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "L20603825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare Independent Business Alliance, LLC
• Healthcare Supply Network, Inc.
• Healthfirst Primary Care, PLLC
• Healthwaves Corporation
• Healthy Homes LLC
• Healvine LLC
• Hearing Solutions of Arizona LLC
• Hearserve LLC
• Heart 2 Heart Industries
• Heart Prime LLC

• Primary Care Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.