Sedona Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SEDONA WELLNESS, LLC

Doing business as

Pagosa Wellness

Practice address

390 Boulder Dr Ste 100
Pagosa Springs, CO 81147-9889

Phone

(970) 422-7161

NPI assigned

Jun 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SEDONA WELLNESS, LLCAs reported in NPPES

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

Authorized official

Name

Cindy Johnson

Title

Office Administrator

Phone

(970) 422-7161

Specialties & licenses 1

Addresses

Other names 1

• Pagosa Wellness Doing business as

Part of

Sedona Wellness LLC

Locations

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.

• Lorene Lawrence, LMMT, RYT, CAP

  • Massage Therapist
  • Pagosa Springs, CO
  • NPI 1285158626
  NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467982157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BOULDER DR STE 100",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479889",
            "telephone_number": "970-422-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BOULDER DR STE 100",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479889",
            "telephone_number": "970-422-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Peace Garden Path",
            "address_purpose": "LOCATION",
            "city": "Clarkdale",
            "state": "AZ",
            "postal_code": "863242613",
            "country_code": "US",
            "telephone_number": "928-237-2271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEDONA WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEDONA WELLNESS, LLC",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "970-422-7161"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pagosa Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Barbara Lee Sanchez, RDH
• Dean Bartholomew Sanna, DC
• Selah Mountain Pharmacy LLC (Selah Mountain Pharmacy)
• Angela Sewell, RDH
• David Scott Shaeffer, MD
• Hillary Ann Shaw, PHARMD
• Sara Elizabeth Shively, PA-C

• Clinic/Center in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.