Organization Active NPI

Shea Wellness Group LLC

  • Naturopath
  • Phoenix, AZ
National Provider Identifier
1710245600
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
SHEA WELLNESS GROUP LLC
Practice address
10401 N 32ND St Ste a
Phoenix, AZ 85028-3850
Phone
(602) 569-0223
Fax
(602) 334-1976
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Ms. Rose Strickland, LMT
Title
Operations MGR
Phone
(602) 569-0223

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
MechanotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 172M00000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

10401 N 32ND St Ste a
Phoenix, AZ 85028-3850

Mailing address

10401 N 32ND St Ste a
Phoenix, AZ 85028-3850
Phone (602) 569-0223

National Provider Directory

National Provider Directory

Locations

10401 N 32nd St
Ste A
Phoenix, AZ 85028
Phone (602) 569-0223

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1710245600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 N 32ND ST STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283850",
            "telephone_number": "602-569-0223",
            "fax_number": "602-334-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 N 32ND ST STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283850",
            "telephone_number": "602-569-0223",
            "fax_number": "602-334-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OPERATIONS MGR",
        "authorized_official_telephone_number": "602-569-0223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.