Project Wellness LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PROJECT WELLNESS LLC

Practice address

3039 W Peoria Ave Ste 102
Phoenix, AZ 85029-5212

Phone

(480) 744-7491

Fax

(833) 450-5270

NPI assigned

Dec 18, 2023

Organization subpart

No

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

Authorized official

Name

Kevin Conboy, PA-CNPI 1760831382

Title

Ceo

Phone

(320) 262-1954

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kevin Conboy

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1760831382
  NPD Authorized official

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1457129587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 W PEORIA AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295212",
            "telephone_number": "480-744-7491",
            "fax_number": "833-450-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 W PEORIA AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295212",
            "telephone_number": "480-744-7491",
            "fax_number": "833-450-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "CONBOY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-262-1954",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.