Wellness Way Grass Valley LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELLNESS WAY GRASS VALLEY LLC

Practice address

355 Providence Mine Rd
Nevada City, CA 95959-2980

Phone

(530) 264-7571

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Patrick Flynn, DC

Title

Owner

Phone

(920) 429-2844

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1740936442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PROVIDENCE MINE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592980",
            "telephone_number": "530-264-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PROVIDENCE MINE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592980",
            "telephone_number": "530-264-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WAY GRASS VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-429-2844",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Marie Weiss-Benoit, LCSW
• Simone Maya Weit, MS
• Maria Welborn
• Shannon Casey Welch
• Haley Jean Welden, DACM, LAC
• Laura Beth Werner, LCSW
• Keana West
• Theresa West
• Vesna Westbrook
• Western Sierra Medical Clinic, Inc.

• Chiropractor in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.