Tulaya Wellness Corp

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

5214820 Issued in WI

Legal business name

TULAYA WELLNESS CORP

Practice address

6789 N Green Bay Ave
Glendale, WI 53209-3472

Phone

(262) 751-3730

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Gina Negrette, MDNPI 1023131240

Title

Owner

Phone

(262) 751-3730

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gina G Negrette, MD

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1023131240
  NPD (past) Authorized official

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1659735504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W RAVINE BAYE RD",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171336",
            "telephone_number": "262-751-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6789 N GREEN BAY AVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093472",
            "telephone_number": "262-751-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULAYA WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "NEGRETTE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-751-3730",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WI",
            "license": "5214820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Bretl, D.O., S.C.
• Anthony Peter Trenga, M.D.
• Thomas Troast, PHD
• James Richard Troken, D.O.
• True Guardian Care LLC
• Maryam Tunio, DDS
• Artie Junior Turner
• Margo Ann Turner, M.S./CCC-SLP
• Ryan Michael Ungerecht, PT, DPT
• Frank Paul Urtz, PHD

• Multi-Specialty Clinic/Center in Glendale, WI
• Providers in Glendale, WI by specialty
• Multi-Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.