Wellness Medical Group LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WELLNESS MEDICAL GROUP LLC

Practice address

3017 W Charleston Blvd Ste 60
Las Vegas, NV 89102-1927

Phone

(702) 778-5100

Fax

(702) 778-5101

NPI assigned

Dec 7, 2018

Organization subpart

No

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

Authorized official

Name

Abegail Concon, APRN

Title

Aprn

Phone

(702) 778-5100

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1609347301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 W CHARLESTON BLVD STE 60",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021927",
            "telephone_number": "702-778-5100",
            "fax_number": "702-778-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 W CHARLESTON BLVD STE 60",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021927",
            "telephone_number": "702-778-5100",
            "fax_number": "702-778-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "CONCON",
        "authorized_official_first_name": "ABEGAIL",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "702-778-5100",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellness Center LLC
• Wellness Collective, LLC
• Wellness Focus
• Wellness Help Center LLC
• Wellness Journey Health Center Corp
• Wellness One Psychiatry PLLC
• Wellness Rejuvenation Center
• Wellness Support Services
• Wellness Transport, LLC
• Wellness, Redemption, & Rehabilitation Program (WRRP), Inc.

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

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