Organization Active NPI

Whole Family Integrated Wellness LLC

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
National Provider Identifier
1487265690
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WHOLE FAMILY INTEGRATED WELLNESS LLC
Practice address
600 E 36TH Ave Ste 300
Anchorage, AK 99503-4168
Phone
(907) 562-3060
Fax
(907) 562-3061
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Tarryn Farrell
Title
Cfo
Phone
(970) 631-4173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

600 E 36TH Ave Ste 300
Anchorage, AK 99503-4168

Mailing address

600 E 36TH Ave Ste 300
Anchorage, AK 99503-4168
Phone (907) 562-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201208001888 AK Part B Supplier - Clinic/Group Practice 6800208380 Receives reassigned benefits from 3 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

600 E 36th Ave
Ste 300
Anchorage, AK 99503
Phone (907) 562-3060

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1487265690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 36TH AVE STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034168",
            "telephone_number": "907-562-3060",
            "fax_number": "907-562-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 36TH AVE STE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034168",
            "telephone_number": "907-562-3060",
            "fax_number": "907-562-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE FAMILY INTEGRATED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "TARRYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-631-4173"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.