Active NPI
Full Circle Health and Wellness LLC
- Health Service Clinic/Center
- Artesia, NM
National Provider Identifier
1528579596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- FULL CIRCLE HEALTH AND WELLNESS LLC
- Practice address
- 1702 W Gilchrist Ave
Artesia, NM 88210-1100 - Phone
- (330) 696-9129
- Fax
- (866) 516-1214
- NPI assigned
- Oct 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Allen Ayers, NP-C
- Title
- Owner/Practitioner
- Phone
- (575) 513-7696
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1702 W Gilchrist Ave
Artesia, NM 88210-1100
Mailing address
1702 W Gilchrist Ave
Artesia, NM 88210-1100
Phone (755) 137-6965
Other names 1
- Full Circle Health and Wellness
National Provider Directory
National Provider DirectoryLocations
1702 W Gilchrist Ave
Artesia, NM 88210
Phone (330) 696-9129
Interoperability endpoints
- https://api.platform.athenahealth.com/18913/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Artesia, NM
- NPI 1124573621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583884800000",
"number": "1528579596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 W GILCHRIST AVE",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882101100",
"telephone_number": "755-137-6965",
"fax_number": "866-516-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 W GILCHRIST AVE",
"city": "ARTESIA",
"state": "NM",
"postal_code": "882101100",
"telephone_number": "330-696-9129",
"fax_number": "866-516-1214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-18",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A",
"authorized_official_last_name": "AYERS",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "575-513-7696",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Full Circle Health and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Artesia, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.