Wonderfully Made Health & Fitness Solutions

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WONDERFULLY MADE HEALTH & FITNESS SOLUTIONS

Practice address

464 Vinings Vintage Cir
Mableton, GA 30126-7207

Phone

(770) 853-3216

NPI assigned

Sep 26, 2014

Last updated

Sep 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Qura WoodburyNPI 1558787085

Title

Ceo

Phone

(770) 853-3216

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Wonderfully Made Wellness, Inc.

  • Specialist
  • Mableton, GA
  • NPI 1649677626
  NPPES parent name

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.

• Qura Woodbury

  • Exclusive Provider Organization
  • Mableton, GA
  • NPI 1558787085
  NPD (past) Authorized official

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1467855098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 VININGS VINTAGE CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 VININGS VINTAGE CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267207",
            "telephone_number": "770-853-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFULLY MADE HEALTH & FITNESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "WOODBURY",
        "authorized_official_first_name": "QURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-853-3216"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyontia Markeya White
• Tia White
• Katherine Wiley, RD, LD
• Christy Williams
• Trinity N Williams
• Wonderfully Made Wellness, Inc.
• Lynei Cherie Woodard
• Qura Woodbury
• Brandy Wright
• Julianna Zellner, LCSW

• Specialist in Mableton, GA
• Providers in Mableton, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.