Active NPI
Kingdom Wellness & Family Health PLLC
Doing business as Kingdom Wellness
- Clinic/Center
- Glendale, AZ
National Provider Identifier
1386403079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- KINGDOM WELLNESS & FAMILY HEALTH PLLC
- Doing business as
- Kingdom Wellness
Kingdom Wellness Family Health - Practice address
- 5422 W Thunderbird Rd Ste 10
Glendale, AZ 85306-4717 - Phone
- (623) 295-9737
- Fax
- (623) 666-6742
- NPI assigned
- Mar 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Ashby, FNP-C
- Title
- Owner
- Phone
- (623) 295-9737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
5422 W Thunderbird Rd Ste 10
Glendale, AZ 85306-4717
Mailing address
5422 W Thunderbird Rd Ste 10
Glendale, AZ 85306-4717
Phone (623) 295-9737
Other names 2
- Kingdom Wellness
- Kingdom Wellness Family Health
National Provider Directory
National Provider DirectoryLocations
5422 W Thunderbird Rd
Ste 10
Glendale, AZ 85306
Phone (602) 253-4271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1386403079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5422 W THUNDERBIRD RD STE 10",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064717",
"telephone_number": "623-295-9737",
"fax_number": "623-666-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5422 W THUNDERBIRD RD STE 10",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064717",
"telephone_number": "623-295-9737",
"fax_number": "623-666-6742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGDOM WELLNESS & FAMILY HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A",
"authorized_official_last_name": "ASHBY",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-295-9737",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kingdom Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kingdom Wellness Family Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.