Wholesome, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WHOLESOME, LLC

Practice address

2236 W. Bethany Home
Suite #2
Phoenix, AZ 85015-1934

Phone

(602) 242-4592

Fax

(602) 242-9220

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Tracy Abney

Title

Office Manager

Phone

(602) 242-4592

Specialties & licenses 1

Addresses

Other names 1

• Adult & Pediatric Allergy Associates Doing business as

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1699437509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 W. BETHANY HOME",
            "address_2": "SUITE #2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151934",
            "telephone_number": "602-242-4592",
            "fax_number": "602-242-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 W. BETHANY HOME",
            "address_2": "SUITE #2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151934",
            "telephone_number": "602-242-4592",
            "fax_number": "602-242-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "ABNEY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-242-4592"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult & Pediatric Allergy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.