Advanced Wellness Connections, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MA 00008877 Issued in WA

Legal business name

ADVANCED WELLNESS CONNECTIONS, LLC

Practice address

981 Powell Ave SW Ste 130
Renton, WA 98057-2990

Phone

(425) 282-0406

Fax

(425) 282-0404

NPI assigned

Apr 27, 2011

Last updated

Apr 27, 2011By 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

Nancy K Haller, MA, GCFP, LMPNPI 1649358573

Title

Owner

Phone

(425) 282-0406

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Kristine Haller, GCFP NCMMT LMP MA

  • Massage Therapist
  • Des Moines, WA
  • NPI 1649358573
  Authorized official Same address or phone

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1689965402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 POWELL AVE SW STE 130",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572990",
            "telephone_number": "425-282-0406",
            "fax_number": "425-282-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 POWELL AVE SW STE 130",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572990",
            "telephone_number": "425-282-0406",
            "fax_number": "425-282-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-282-0406",
        "authorized_official_credential": "MA, GCFP, LMP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MA 00008877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1649358573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Dentistry
• Advanced Endodontics
• Advanced Geriatric Care PLLC
• Advanced Occupational Health Services PLLC (Advanced Occpational Health Services)
• Advanced Therapy Network Resource, PLLC
• Anuujin Agar
• Meghna Agarwal, MD
• Sara Joyce Agassiz, PT, OCS
• Teri Agnew, RN
• Makeda E Agonafer, M.D.

• Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.