Active NPI
Wellness to Go LLC
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WELLNESS TO GO LLC
- Practice address
- 2200 W Bethany Home Rd
Suite 1
Phoenix, AZ 85015-1997 - Phone
- (602) 841-4860
- Fax
- (602) 841-4861
- NPI assigned
- May 20, 2008
- Last updated
- Jul 24, 2013
- 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
- Debra Barnes, APRN
- Title
- Administrator
- Phone
- (602) 841-4860
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2200 W Bethany Home Rd
Suite 1
Phoenix, AZ 85015-1997
Mailing address
2200 W Bethany Home Rd
Suite 1
Phoenix, AZ 85015-1997
Phone (602) 841-4860
National Provider Directory
National Provider DirectoryLocations
6320 N 27th Ave
Ste D
Phoenix, AZ 85017
Phone (602) 841-4860
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Phoenix, AZ
- NPI 1437316288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374624000000",
"number": "1447417282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W BETHANY HOME RD",
"address_2": "SUITE 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151997",
"telephone_number": "602-841-4860",
"fax_number": "602-841-4861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W BETHANY HOME RD",
"address_2": "SUITE 1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151997",
"telephone_number": "602-841-4860",
"fax_number": "602-841-4861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS TO GO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2013-07-24",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-841-4860",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.