Valley Integrated Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VALLEY INTEGRATED WELLNESS LLC

Practice address

21585 N. 77TH Avenue
Suite 1500
Peoria, AZ 85382

Phone

(623) 476-5227

Fax

(623) 476-8379

NPI assigned

Aug 31, 2015

Organization subpart

No

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

Authorized official

Name

Sandra L. Decarlo, DNP,FNP-CNPI 1831449099

Title

Owner

Phone

(623) 476-5227

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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

• Sandra Lee Decarlo, DNP, FNP-C, CWOCN

  • Family Nurse Practitioner
  • Peoria, AZ
  • NPI 1831449099
  Medicare reassignment NPD Authorized official
• Alexandra Birkett, PA-C

  • Medical Physician Assistant
  • Peoria, AZ
  • NPI 1053742197
  NPD (past)
• Catherine Anne Fisher, MD

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1366621278
  NPD (past)

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1477920064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21585 N. 77TH AVENUE",
            "address_2": "SUITE 1500",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-476-5227",
            "fax_number": "623-476-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21585 N. 77TH AVENUE",
            "address_2": "SUITE 1500",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85382",
            "telephone_number": "623-476-5227",
            "fax_number": "623-476-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INTEGRATED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "DECARLO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-476-5227",
        "authorized_official_credential": "DNP,FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Deloras Valenzuela, BHT II
• Valley Arthritis Care LLC
• Valley Direct Primary Care, PLLC
• Valley Healthcare
• Valley Integrated LLC
• Valley Internal Medicine Associates, PLLC
• Valley Kidney Center Inc
• Valley Kidney Institute LLC
• Valley of the Sun Pediatrics, P.C.
• Valley Orthodontic Group/ Peoria P.L.L.C.

• Family Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.