Way Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WAY WELLNESS PLLC

Practice address

41704 W Smith Enke Rd
Maricopa, AZ 85138-2709

Phone

(623) 200-3526

NPI assigned

Apr 7, 2023

Last updated

Apr 24, 2023By 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

Tyeasa R Jones, PMHNPNPI 1053947945

Title

Owner

Phone

(623) 200-3526

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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.

• Tyeasa Renae Jones, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maricopa, AZ
  • NPI 1053947945
  Medicare reassignment NPD Authorized official
• Sha-Kyra Alexis Jenkins

  • Professional Counselor
  • Maricopa, AZ
  • NPI 1881281467
  NPD
• Janice Richardson

  • Psychiatric/Mental Health Nurse Practitioner
  • Fontana, CA
  • NPI 1073127841

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1720773534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41704 W SMITH ENKE RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382709",
            "telephone_number": "623-200-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41704 W SMITH ENKE RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382709",
            "telephone_number": "623-200-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TYEASA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-200-3526",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (WalMart Pharmacy 10-4430)
• Carolyn Wanyama
• Jeannie Katherine Warren, LPN
• Alberta Watkins
• Jamie Watson, REGISTERED NURSE
• Russell Adam Webb, D.C.
• Tangeca Wells, FNP-C
• Linda Wheeler
• Tiffany White Moore, RN
• Sylvia White

• Psychiatric/Mental Health Nurse Practitioner in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.