Organization Active NPI

Graceful Wellness & Essential Nursing LLC

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1497544704
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
GRACEFUL WELLNESS & ESSENTIAL NURSING LLC
Practice address
2544 W Sunland Ave
Phoenix, AZ 85041-4503
Phone
(216) 288-9229
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Mrs. Anestra Latsha Wilson, RNNPI 1912223579
Title
RN
Phone
(216) 288-9229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

2544 W Sunland Ave
Phoenix, AZ 85041-4503

Mailing address

2544 W Sunland Ave
Phoenix, AZ 85041-4503
Phone (216) 288-9229

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1497544704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 W SUNLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414503",
            "telephone_number": "216-288-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 W SUNLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414503",
            "telephone_number": "216-288-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL WELLNESS & ESSENTIAL NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANESTRA",
        "authorized_official_middle_name": "LATSHA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "216-288-9229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.