Emc Walk-in and Wellness Inc.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

EMC WALK-IN AND WELLNESS INC.

Practice address

1717 E Bell Rd Ste 8
Phoenix, AZ 85022-6200

Phone

(602) 546-7122

NPI assigned

Jan 10, 2022

Last updated

Jan 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trazell Harris

Title

NP-C/Owner

Phone

(804) 683-3257

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1609527852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E BELL RD STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226200",
            "telephone_number": "602-546-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E BELL RD STE 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226200",
            "telephone_number": "602-546-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMC WALK-IN AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TRAZELL",
        "authorized_official_title_or_position": "NP-C/OWNER",
        "authorized_official_telephone_number": "804-683-3257"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.