Active NPI
Full Spectrum Wellness Inc
- General Practice Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FULL SPECTRUM WELLNESS INC
- Practice address
- 1840 N Craycroft Rd
Tucson, AZ 85712-3702 - Phone
- (520) 372-8427
- Fax
- (520) 264-0126
- NPI assigned
- Jun 25, 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
- Dr. Kristin Makinajyan, FNP/DNP
- Title
- Nurse Practitioner
- Phone
- (626) 215-5900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1840 N Craycroft Rd
Tucson, AZ 85712-3702
Mailing address
1840 N Craycroft Rd
Tucson, AZ 85712-3702
Phone (520) 372-8427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2337418 | Full Spectrum Wellness | Certificate of waiver | Jan 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
1840 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 886-2822
7660 E Broadway Blvd
Ste 210
Tucson, AZ 85710
Phone (323) 333-5240
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1851197016
-
- Family Nurse Practitioner
- Tucson, AZ
- NPI 1356052161
-
- Acute Care Nurse Practitioner
- Tucson, AZ
- NPI 1295244895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1447094230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 N CRAYCROFT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857123702",
"telephone_number": "520-372-8427",
"fax_number": "520-264-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 N CRAYCROFT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857123702",
"telephone_number": "520-372-8427",
"fax_number": "520-264-0126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL SPECTRUM WELLNESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-25",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "MAKINAJYAN",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "626-215-5900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "FNP/DNP"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.