Organization Active NPI

Kingdom Wellness & Family Health PLLC

Doing business as Kingdom Wellness

  • Clinic/Center
  • Glendale, AZ
National Provider Identifier
1386403079
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Mar 15, 2024

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)CodeLicenseStatePrimary
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 Doing business as
  • Kingdom Wellness Family Health Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.